Don’t overlook it: History and physical exam still count for office visits
Effective May 13, 2021
Published May 17, 2021
Last Reviewed May 13, 2021
The new E/M office visit guidelines for history and physical examinations give clinicians more freedom. They also spare coders the trouble of counting points for these portions of the patient encounter. However, coders and clinicians should work together to establish the sort of documentation that will protect patients by supporting continuity of care, maintain revenue by supporting their claims and help clinicians by keeping their workload as light as possible.
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