The Practice Building Alliance™

Patient Management Techniques, Questions and Training

Pat Atanas CA Training

Discussion On Documentation & Coding

So we’re talking about the different types of presentations in reference to documentation and coding, and different things like that. There seems to be some questions as to when to use E&M codes and when to use physical performance codes, like a 97750 code. So, basically, depending on the type of evaluation that we’re giving our patients, the E&M codes are meant to be used for situations when the history and the physical exam and the assessment, and so forth, are made when the patient either hasn’t been in for a while, a new patient, obviously, and also in situations of re-examinations during active care, care that is ongoing. And again, for those of you who are just signing on, hit *6 if you don’t [...]

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OPQRSTU Process Discussion

E&M coding. And basically, I think most of us know this, but the 99201, 205 codes are used when we haven’t seen someone in 3 years or more. They’re meant to be used for new patients. For re-exams, which is less than 3 years of time, we should use the 11, the 99211 to 99215 codes. I said, last time, that it’s kind of rare that we would probably use the 05, 15 codes, because it’s typically used in situations where the person’s health is really on the edge of life. If you look at all the examples in the various books, it really has to be a multi-system, multi-dimensional problem, with lots of coordinated care with other healthcare providers. Certainly, there are times that [...]

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Vitals & Documentation Discussion

So, from an objective outcome assessment documentation standpoint, the obvious information that you and I gather on a day-to-day basis when we examine patients, if they’re new, typically the examination includes vital signs. A couple comments about vitals. Just the word vital means that they are, indeed, vital, and I don’t mean that to sound facetious, but it’s interesting how often chiropractors, even though we are primary care physicians, and people come walking off the street to see us, it’s always a little alarming to me how many of us don’t take the patient’s temperature. Typically, we’ll take a blood pressure and maybe ask the patient about height and weight. It’s important to measure those things; because if they change drastically, one of the red [...]

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Figure Out How Many Visits a P.I. Patient Needs

I’ve been getting some PI cases, and I want to find out how I should figure out how many visits a patient needs? Is there a systematic way to do that? Steve: You mean to figure out how many visits one should or shouldn’t exceed, or something on those orders? Caller: Yeah. I use the old the old 3 times a week, 2 times a week, that type of stuff. I know Ben has been trying to get us away from that, just treat them and don’t pressure them. I mean I can understand that too. If someone told me, “You’ve got to come 3 times a week for 4 weeks, dah-dah-dah,” I would say, “Oh, shit.” Steve: Well, there’s [...]

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