What tool does Novitas Solutions offer to differentiate between expanded problem focused and detailed examination?

The "4x4" method is an effective tool provided by Novitas Solutions to help differentiate between expanded problem-focused and detailed examinations. This method involves assessing four specific elements across four different body areas, allowing auditors and healthcare providers to systematically evaluate the level of examination being performed.

By categorizing the examination in this structured manner, it becomes clearer how much detail is present in the clinical examination documented in the patient's record. The methodology not only helps in understanding what is required for proper coding but also ensures compliance with guidelines set forth by the Centers for Medicare & Medicaid Services (CMS). This clarity is essential in medical auditing, as it aids in making informed decisions regarding billing and reimbursement.

Understanding this method also cultivates accuracy in capturing the nuances of different examination types, which is crucial for maintaining the integrity of patient records and billing practices.