Clinician Documentation Standards
Coder Query and Clinician Communication Process
Consultations Grid – Coding Scenarios, Consults, and Shared VisitsConsultations in the Hospital Setting
Documentation Standard Timeframes
Modifier 22 Unusual Procedural Service
Modifier 25 Significant Separate E/M ServiceModifier 57 Decision for Surgery
Modifier 59 Distinct Procedural Service
Nurse Practitioner (NP) SupervisionObservation Care Professional Billing
Office/Outpatient Evaluation & Management (E/M Codes)
Reporting Fraud, Waste, and Abuse (FWA) and Code of Conduct Violations Selection of First-Listed Diagnosis