ITEMS IN FPM ON TOPIC:
Yes, it's complicated, but don't make it harder than it has to be.
The difference between one level and the next may be no more than a word or two.
A clear goal, staff buy-in and simple tools – such as an asthma flow sheet – can help your practice follow asthma guidelines more consistently.
Successful reporting begins with preparation.
A simple review may save your practice loads of money.
Chart notes used to be primarily for doctors, but oh how times have changed.
Start from the presenting problem to get to the right code faster.
E/M coding can be so complex that you forget those visits where it's just a matter of time.
Understanding your legal protections and ethical obligations can make it easier to respond when duty calls.
Unclear terms can weaken medical documentation and confuse your colleagues, and this physician has had enough.