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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.
Your peers have been coding more 99214s. Is it time to review your coding habits?
Here's a guide to the sometimes confusing documentation requirements for consultations.
Our forms can make documentation faster, easier and more accurate while providing decision support and coding help. What more do you want for nothing?
Reviewing the rules and examining your coding practices can decrease denials and help you get paid.
Protect yourself with these tips from a family physician who has successfully defended his care and that of other physicians.