Session Description:
Understanding the distinction between personal history and active history is crucial for accurate coding and auditing in medical documentation. This webinar will clarify the differences between these two types of history, offering practical strategies for proper documentation and coding. Coders and auditors often encounter challenges in determining when a condition should be reported as active versus historical, which can impact claims accuracy and compliance. In this session, you’ll gain the skills needed to confidently navigate this gray area and ensure that your audits and codes are accurate and compliant.
Learning Objectives: Understand the definitions and distinctions between personal history and active history in medical documentation. Recognize common scenarios where confusion may arise in coding conditions as personal history versus active. Evaluate medical records to determine when a condition should be coded as historical or active, based on provider documentation and clinical status.
NAMAS presentations are submitted for approval to the AAPC and requested for 1 credit hour for Core A and all applicable certifications, including CPMA.