Sarah Ann
Networker
I was told today the provider doesn't have to state "exacerbation" or "flare "or worsening- because the provider documents "the patient feels it's an exacerbation of her illness." Ok, but objectively what is the provider finding? I personally don't (for E/M purposes (leveling) unless the provider documents it is an exacerbation or flare of etc. Then in the final they only document for example "asthma" Am I wrong all of the sudden? Oh and by the way we don't query doctors- they go through a coder, we'll get answers like the above.