What qualifies as “reviewing records” for a physician? Would a physician reviewing records from a patient’s previous visit to their practice qualify as reviewing records? ...
Subscribe or sign in to view the full article.
Article Overview
This article addresses a common physician documentation question about when record review counts toward medical decision-making under CPT® 2023 guidance. It is relevant to physicians, coders, auditors, and compliance staff who need a high-level understanding of how prior records are classified and when records from outside sources may be considered differently from records within the same practice. The discussion stays focused on CPT®-based documentation concepts and the general categories of records and sources involved.
Why This Topic Matters
Understanding how record review is categorized helps support accurate physician documentation review and consistent application of CPT® 2023 medical decision-making guidance. It is useful for those evaluating whether a documented review contributes to the history or to the MDM record-review element.
What You Will Learn
- How record review is discussed in the context of physician documentation
- How the article frames the relationship between prior records and medical decision-making
- What kinds of record sources are addressed at a high level
- How CPT® 2023 guidance is used in the discussion
Who Should Read This
- Physicians
- Medical coders
- Auditors
- Compliance staff
- Practice managers
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com