Wiki Request to Physicians to be more decriptive in their dictation for billing and coding

[keshalee]

Hello All,

I need to draw up a letter for my physicians to dictate very specific. I find that most of them are dictating one or two sentences for follow up visits. I need them to dictate the diagnosis and be very descriptive of the visit. Do any of you have a generic letter I can use as a guide to help me get started?

Thanking you in advance,
KLL

 

[barbiehays]

Appropriate coding

Are these physicians charging office visits? If so, an easy and effective way to communicate the inappropriate coding is to perform a mini-audit. Depending on the physician volume of your office, randomly select 5-10 encounters, do a paper audit, and share your findings. Even though only 2 of 3 areas have to be met to meet a established viist, DG specifically state all three areas have to be addressed in order to count for a visit. In this way, you can communicate in a way that will get their attention: Through the money.

Barbie Hays
Coding Manager