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E/M Coding Focus: Geriatric Patients & Dementia

Posted on 15. Jun, 2009 by in Hot Coding Topics

Determine HPI or ROS during assessment for geriatric patients.

Your internist is a pro at assessing and treating medical issues, but you’re the pro at getting him paid for his work. Helping him brush up on how he reports E/M services for geriatric dementia can improve the accuracy of your claims, and therefore reduce denials.

Expect Combination Problems to Yield Higher-Level E/M

Many geriatric patients have health problems like vascular disease, diabetes, hypertension, or a history of stroke or heart attack. Your internist must consider these health issues when assessing patients for dementia.

Your internist should document signs, symptoms, and reasons for the workup using the appropriate office/outpatient E/M code. The level you select depends on what the patient’s problems are. If the patient’s only health problem is forgetfulness, you will likely use a lower-level code.

An E/M specialty certification will pay off for your doctor … and for you!...

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