Medicare Compliance & Reimbursement

Reader Question:

Avoid Cloned Notes' Scenarios With Expanded Documentation

Question: Our practice lists the chief complaint for all follow-up visits using just “f/u” — we have never had an issue collecting payment, but our coder is concerned that this isn’t compliant. Can you advise? Codify Subscriber Answer: The chief complaint is not thorough enough, and if the physician writes the same thing on every record, he could even be [...]
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