Urology Coding Alert

Evaluation and Management:

Locate 3 Key Pieces of Critical Information Before Coding Based on Time

Key: Don’t rely on ‘I spent more than an hour with the patient’ provider comments. If you are coding office visits based on the time your urologist is spending with a patient, make sure he is documenting three key elements – and we aren’t talking about history, exam, and medical decision making. Otherwise, you’ll face payer take-backs, or worse.   [...]
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