ITEMS IN FPM ON TOPIC:
A voice-recognition system can automatically insert the correct ICD-9 codes into your dictated note.
Use this worksheet to quickly assess whether you can code a 99214.
You can use your word processing program to create notes almost instantly – even if you’re not a great typist.
This article will describe how to bill for and document care plan oversight, balancing it as a billing opportunity and a compliance risk. It will include a form for documenting CPO.
The article explains the merits of dictating notes in the exam room with the patient present, as a way to increase efficiency and improve patient care.
The article describes an encounter form that can improve documentation of visits for patients with cold symptoms and reduce the amount of time spent documenting, which sometimes can take longer than the visit itself.
Find out how to properly code and bill for the preventive services you provide.
The article offers an evidence-based approach to the diagnosis and treatment of hypertension, based on the seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7), and includes an encounter form to aid physicians in providing care consistent with the JNC 7 guidelines.
The author provides tips for coding and billing for complicated observation services, such as when an observation stay lasts more than one day or changes to inpatient status.
They don’t just help you code better. They also help make the documentation guidelines less annoying.