Slide 1 How to write your medical documents? Jun Xu, M.D., L. Ac. Slide 2 Medicare Initial E/M 99201 – Usually the presenting problem(s) are self limited or minor and the…

Slide 1 History Taking & Chest Examination Dr. Waseem HAJJAR, MD. FRCS. Assistant professor & Consultant Thoracic Surgeon Slide 2 A good history should be both: Concise.…

Medical Documentation Rules Medical Documentation Rules General principles The documentation of each patient encounter should include: Chief complaint Relevant history of…

Medical Documentation Rules Medical Documentation Rules General principles The documentation of each patient encounter should include: Chief complaint Relevant history of…

Determine Level of 99 Code * Determine Level of 99 Code EM Rules in CPT Manual 9 pages, starting pg 4, CPT 2013 EM Rules by Medicare 15 pages of 1995 Documentation Guidelines…