Download Support Tool In the world of CPT coding, there are many unfamiliar words and terms to learn. As a provider, you may not need to know as much as a Certified Professional Coder (CPC), but you should be familiar with the codes used in your office. This tool is an excellent resource to use…

Download Support Tool Here is a list of abbreviations to print out and utilize when documenting in the patient’s medical record. Health care has many standard abbreviations that are consistent throughout the country and even worldwide. No matter where you go in the United States, BP stands for blood pressure, C/S stands for cervical (spine),…

Selecting the Correct Code Download Reference Documents AAPC 2021 E/M (99202-99215) Audit Worksheet Novitas E/M Interactive Scoring Sheet

Documentation & Third-Party Payers Most often, payers limit coverage to “Medically Necessary” care as opposed to maintenance care. It is costly for an office to have to deal with recoupments from an insurance company for care that was documented as wellness or maintenance care. The Initial Office Visit history and exam will help the doctor define…

State law is the primary rule maker when it comes to what may be delegated to ancillary personnel, and some private payers even make their own rules that may be more stringent and supersede the state rules. This helpful Support Tool outlines the many types of certification and advanced degrees we know in our profession….

Download Sample Documents Here we provide a sample from the Colorado State Board that provides the record-keeping requirements (including the minimum documentation expectations) for this state for both Initial and established patient visits. This resource is an example of similar resources that should be available in each state. We recommend that you locate and become…