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HEALTHCON: Speaker Heather Greene, MBA, RHIA, CPC, CIC, CPMA, CDIP

Posted on January 18, 2019 by CPC Exam Medical Coding Updates

AAPC’s HEALTHCON in Las Vegas, April 28-May 1, 2019, s for everyone on the business side of healthcare and provides cutting-edge education, networking, and other opportunities to attendees. Expert speakers, such as Heather Greene, MBA, RHIA, CPC, CIC, CPMA, CDIP, help make this a professional event you won’t want to miss. Greene is the CEO/owner […]

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AAPC Knowledge Center

Heather C. CPC

Posted on November 23, 2017 by CPC Exam Medical Coding Updates

There is discussion in my office as to how to interpret the CMS rules for billing a comprehensive history and physical within 30 days of a procedure performed at an Ambulatory Surgical Center (to clear the patient for the procedure). I have attached the document that we are attempting to interpret. Some believe that a comprehensive H&P does not necessarily mean that you have to meet the requirements of a 99215, some believe that a 99214 is still a comprehensive exam even if that is not the specific code description. Others believe that all components of a 99215 must be met, so if a physician sees the patient (within the 30 days) and only billed a 99214, then another qualified practitioner must evaluate the patient prior and meet the requirements of a 99215.

Any insight is very appreciated!

Attached Files