Documentation of medical necessity and billing requirements.
To reduce the complexity and subjectivity of the coding process, the PRS Network has developed an E&M coding system to assist the physician and the office staff to more efficiently document and select the correct level of the E&M encounter. The PRS system is based on the the documentation guidelines of CMS.
Easily select the correct level of service for the service provided.
- Forms ensure proper documentation Wall Chart ensures all requirements are met for the correct level of service
- Pocket Card is small and portable
The Pocket Card is a reference to help determine the levels of services for each category of service. The Pocket Card, which summarizes the Wall Chart, is based on a numerical system as described in the CMS documentation guidelines, as opposed to the more subjective verbal descriptors of CPT.
The Wall Chart (General Multi-system or Genitourinary) lays out in detail the elements of the three key components necessary for coding an E&M encounter based on CMS guidelines.
- History Component
- Physical Exam Component
- Medical Decision Making Component