PAMALAR
New
In the hospital I am working, I noticed over documentation of Physical examination which is leading to higher level of E&M. Example: for established office visit (2 out of 3 key component required) with history and physical examination as comprehensive with a severity of illness very low, the system automatically gives a higher level of E&M.
Can anyone help me in finding good articles and guidelines on physical examination documentation so that we can educate our physicians regarding medical necessity for the same. I remember i read one in Coding edge/Edgeblast, but cannot remember which edition it was.
Please help...
THANKS
Pamalar CCS, CPC
Can anyone help me in finding good articles and guidelines on physical examination documentation so that we can educate our physicians regarding medical necessity for the same. I remember i read one in Coding edge/Edgeblast, but cannot remember which edition it was.
Please help...
THANKS
Pamalar CCS, CPC