ExamWRITER 8.0 Enhancements - OfficeMate Software Solutions

ExamWRITER 8.0 Enhancements
Quick Code
Quick Code
The improved E&M Quick Code Check window contains the following new features:
• Ability to accurately and automatically determine the level of medical code
documentation (based on the Evaluation and Management Services Guide by the
Centers for Medicare & Medicaid Services (CMS)) needed for billing purposes
on new exams. The check box selections that you record in a patient’s exam
record that relate to 99xxx procedure codes are tallied and recorded in the
Documented Elements row on the E&M Quick Code Check window.
Now that you are
able to increment
and decrement
coding levels in
real time, you will
be able to
accurately select
procedure codes
for your exams. • Ability to quickly visually note what elements you have documented, what
elements you have not documented, what E&M code you have already selected
in the Diagnosis/Procedure Coding window (if applicable), and what alternate
E&M code you can bill based on the elements that you have already documented
(if applicable). The following color-coding is used in the E&M Quick Code
Check window:
−
−
−
Note
Due to the extensive changes that were made to the Quick Code
functionality, the E&M Quick Code Check window will not
accurately determine the level of medical code documentation for
exams copied forward from ExamWRITER 7.4 and below to
ExamWRITER 8.0 unless you open the exams that you copied
forward and reselect and reprocess all of the information in those
exams.
Grey boxes denote elements that you have not documented or coding
levels that you have not reached.
Purple boxes denote coding levels that you have reached.
Green rows denote the coding level that you have already selected in the
Diagnosis/Procedure Coding window (if applicable).
− A red E&M Code box denotes an alternate E&M code that you can bill
based on elements that you have already documented (if applicable).
The lowest level of code that you have selected (as denoted by purple boxes) is
what you are able to bill a patient. To meet CMS guidelines, you cannot bill a
level 5 E&M code unless all of the boxes in the level 5 row are purple. For
example, if there is a purple HPI box in the level 2 row and purple ROS, PFSH,
Phys Exam, Diag/Mgmt, and Risk boxes in the level 5 row, you must bill the
level 2 E&M code unless you document additional HPI elements to create a
purple HPI box in the level 5 row.
ExamWRITER 8.0 Enhancements 6