Gastroenterology Coding Alert

Key Elements:

Strengthen Your ROS Documentation to Qualify For Level 4 or 5 Encounters

Don’t down code due to lack of complete documentation. If your gastroenterologist is not completing all the pertinent documentation for the review of systems (ROS), you might be losing out on opportunities to report a higher level E/M – watch out for instances wherein your clinician might not be documenting negative responses. The third element of an E/M service, after [...]
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