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Medical Coding Evaluation and Management

Autor Kate Gabriel-Jones, Larry A. Bohn
en Limba Engleză Paperback – 20 ian 2013
Thorough and correct documentation of evaluation and management services provide the foundation for correct billing. "Medical Coding Evaluation and Management, 1e "provides an easy-to-read reference tool for thorough and effective documentation of any evaluation and management service visit. By focusing on the foundations of evaluation and management documentation guidelines, physicians, non-physician providers and other clinicians have the opportunity to understand the complexities of documenting any evaluation and management service correctly. Highlighting a variety of settings, readers learn about how to document medical history, physical examinations, medical decision-making, counseling and/or coordination of care, as well as intraservice time. Clinical examples, a clinical scenario and chapter exercises round out coding skills, as readers learn to dissect the evaluation and management visit and all its elements.
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Specificații

ISBN-13: 9780132881562
ISBN-10: 013288156X
Pagini: 320
Dimensiuni: 216 x 275 x 12 mm
Greutate: 0.59 kg
Ediția:New.
Editura: Pearson

Cuprins

1. Evaluation and Management: An Overview 2. History of Present Illness (HPI) 3. Review of Systems (ROS) 4. Past, Family, Social History (PFSH) 5. Selecting the Overall History Level: Putting HPI, ROS, and PFSH Together 6. Physical Examination: The 1995 Physical Exam 7. Physical Examination: The 1997 General Multi System Physical Exam 8. Physical Examination: The 1997 Single Organ System Physical Exam 9. Medical Decision Making: Number of Diagnosis and/or Management Options 10. Medical Decision Making: Complexity of Data Reviewed 11. Medical Decision Making: The Risk of Complication, Morbidity, or Mortality 12. Selecting the Overall Medical Decision Making Level 13. Putting All the Elements Together to Find the Right E/M Code 14. Evaluation and Management Guidelines: Categories Requiring Content of Service 15. Evaluation and Management Guidelines: Case Management, Care Plan Oversight, Preventive Medicine, Non-Face-to-Face Physician Services, Domiciliary or Home Care Plan Oversight, and Special Services 16. Evaluation and Management Guidelines: Categories Requiring Something More: Prolonged Services, Newborn Care, and Critical Care 17. Evaluation and Management Modifiers 18. Evaluation and Management Resources and Summary APPENDIX A: Instructions for Accessing the 1995 Documentation Guidelines for Evaluation and Management Services APPENDIX B: Instructions for Accessing the 1997 Documentation Guidelines for Evaluation and Management Services APPENDIX C: The Anatomy of the Evaluation and Management Medical Documentation