System and method for determining CPT codes
First Claim
1. A system for determining an applicable CPT code for a patient encounter, the system comprising:
- a paper form including a history section, an examination section and a complexity section, each of said history and examination sections including a plurality of point indicators, each of said point indicators being associated with a characteristic relating to a corresponding one of said sections, wherein each of said point indicators is marked during the patient encounter when said associated characteristic is applicable to the patient.
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Abstract
A system for determining an applicable CPT code for the patient encounter. The system, in one form, includes a paper form defining a history section, an examination section and a complexity section. Each of the history and examination sections includes a plurality of point indicators, each of which is associated with a characteristic relating to a corresponding one of the sections. Each of the point indicators is marked during the patient encounter when the associated characteristic is applicable to the patient. Each of the history and examination sections also includes a section score calculator, which records a section tally of the marked point indicators and directs the conversion of the section tally to a section score. A final code calculator records the section score for each of the history and examination sections and a section score for the complexity section, and computes a final CPT code from the sections scores.
31 Citations
20 Claims
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1. A system for determining an applicable CPT code for a patient encounter, the system comprising:
a paper form including a history section, an examination section and a complexity section, each of said history and examination sections including a plurality of point indicators, each of said point indicators being associated with a characteristic relating to a corresponding one of said sections, wherein each of said point indicators is marked during the patient encounter when said associated characteristic is applicable to the patient. - View Dependent Claims (2, 3, 4, 5, 6, 7)
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8. A tool for use by a patient caregiver during a patient encounter to determining a CPT code applicable to the patient encounter, the tool comprising:
a paper form including at least one section, each of said at least one section including a plurality of point indicators, each of said point indicators being associated with a characteristic relating to a corresponding one of said at least one section, and a section score calculator associated with each of said at least one section, wherein each one of said plurality of point indicators in which said associated characteristic is applicable to the patient encounter receives a mark, said section score calculator records a section tally of said marks and converts said section tally to a section score. - View Dependent Claims (9, 10, 11)
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12. A method for use by a patient caregiver during a patient encounter to determine and document a CPT code applicable to the patient encounter, the method comprising the steps of:
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selecting a paper form having a history section, an examination section and a complexity section, each of the sections including a plurality of point indicators, each of the point indicators being associated with a characteristic relating to a corresponding one of the sections;
during the patient encounter, marking each one of the point indicators in which the associated characteristic applies to the patient encounter;
calculating a section score for each of the sections by tallying the marked point indicators in each of the sections and using a section score calculator provided in each of the sections to convert the tally of marked point indicators in each section to a section score;
determining the CPT code from the section score for each of the sections. - View Dependent Claims (13, 14, 15, 16, 17, 18, 19, 20)
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Specification