AMA CPT® Assistant - 1998 Issue 1 (January)

Documentation Guidelines, No Use of Templates (Q&A) (January 1998)

January 1998 page 11a Coding Consultation Documentation Guidelines, No Use of Templates (Q&A) How does HCFA feel about templates for physicians to use when dictating exams? These would be physician prompts to comment upon the mandated elements of the exam, not actual verbiage that would "spit out" with the striking of a single key? AMA Comment HCFA is opposed to templates for physicians to use when dictating exams, because the minimum requirements of the Documentation Guidelines does not preclude adherence to other physician, institutional, and/or medical record documentation requirements. Documentation Guidelines, No Use of Templates (Q&A). CPT®...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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