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Advance Care Planning Services: Does Your Documentation Cut it?
Advance Care Planning (ACP) allows for an open discussion between the healthcare provider and the patient, family member, or surrogate about the type of care the patient wants when he or she becomes seriously ill and/or incapable of making their own medical decisions....
Medical Necessity of Definitive Urine Drug Testing – Who Decides?
Recently, Coding Compliance Solutions (CCS) reviewed a laboratory that performed urine drug testing. The lab underwent a CMS Program Integrity Contractor (PIC) audit. The PIC reported an 89.8% error rate citing the lack of medical necessity for performing definitive...
HPI Confusion or what?
I recently had the opportunity to review another coder’s work and was shocked at the differences in my findings versus hers so I thought I would get comments on what others thought about a couple of the scenarios.