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Risk-Based Coding & Documentation

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An overview of "risk-based coding and documentation" in a medical practice setting.

An overview of "risk-based coding and documentation" in a medical practice setting.

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  • 1. Risk-Based Coding
    the Path to Successful E&M Documentation
  • 2. This presentation about documentation & coding is designed to take a complex issue and make it …
    logical
    meaningful
    useful
  • 3. Risk-Based E&M Coding
  • 4. Complexity of Medical Decision-Making
  • 5. Risk ?
  • 6. Complexity of Medical Decision-Making
  • 7. Complexity of Medical Decision-Making
  • 8. Complexity of Medical Decision-Making
  • 9. Data ?
  • 10. Complexity of Medical Decision-Making
  • 11. Complexity of Medical Decision-Making
  • 12. Complexity of Medical Decision-Making
  • 13. DX / MGT ?
  • 14. Complexity of Medical Decision-Making
  • 15. Complexity of Medical Decision-Making
  • 16. Complexity / MDM ?
  • 17. Complexity of Medical Decision-Making
  • 18. Complexity of Medical Decision-Making
  • 19. Some Examples
  • 20. Complexity of Medical Decision-Making
  • 21. Complexity of Medical Decision-Making
  • 22. Complexity of Medical Decision-Making
  • 23. Evaluation and Management Services…
  • 24. History…
  • 25. Chief Complaint (CC)…
  • 26. Chief Complaint (CC)…
  • 27. History of Present Illnes
  • 28. Review of Systems (ROS) levels…
  • 29. Review of Systems (ROS)…
  • 30. Review of Systems (ROS)…
  • 31. Past Medical, Family and Social History
  • 32. Level of History ?
  • 33. Level of History
  • 34. Physical Examination (PE)…
  • 35. Body Systems/Areas
  • 36. Physical Examination (PE)…
  • 37. Physical Examination (PE)…
  • 38. Physical Examination (PE)…
  • 39. Requirements for 99244/245
  • 40. ICD 9-CM Coding
  • 41. ICD 9-CM Coding
  • 42. Properly Documenting Consultations
  • 43. Properly Documenting Consultations
  • 44. Properly Documenting Consultations
  • 45. Properly Documenting Consultations
  • 46. General Principles of Medical Records Documentation
  • 47. Congratulations,
    Training Session
    Completed !
  • 48. Consultants To The Healthcare Industry
    99 “C” Street, Ste 207
    Upland, CA 91786
    Phone: (909) 931-7600
    Fax: (909) 931-7655
    Web:www.foxgrp.com
    Email: contact@foxgrp.com
    Providing Excellence Since 1989