What constitutes a well-documented record? A coder’s perspective
Q: The new AMA guidelines for 2021 state that the nature and extent of the history and/or physical […]
RevU Posts
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Diagnosis coding for coexisting diabetes, hypertension, and chronic kidney disease
Q: My clinician is asking which condition should be coded as causal to chronic kidney disease – hypertension […]
History of Present Illness in 2021
Q: Should we continue to require HPI information for each problem in 2021? A: Answer: While we are […]
Prevention and illness management in the Same encounter for 2021
Q: If a provider sees a patient for a wellness service or preventive exam (e.g., annual well woman […]