decisionhealth Newsletters, Coder Pink Sheets - 2003 Issue 8 (August)
Customize our Work Tools for your office!_Questioned phrase fuels Work Tool template debate
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Article Overview
This short coding article addresses a documentation-template wording issue tied to E/M office visit history guidance. It is aimed at coding professionals and office staff who use customizable work tools and want to understand the difference between template language and the underlying documentation guidance. The discussion focuses on why a template may include practical phrasing, how that phrasing relates to history elements, and why users may choose to edit the file for internal consistency.
Why This Topic Matters
Template wording can affect how providers and coding staff interpret documentation expectations. Understanding the distinction between a convenience-based template and the source guidance helps practices tailor internal tools without confusing local workflow language with formal criteria.
What You Will Learn
- How a documentation template may differ from the source guidance it is based on
- Why practices sometimes customize internal E/M work tools
- How template language can be adapted for office use
- What type of documentation issue prompted the reader question
Who Should Read This
- Medical coders
- Coding auditors
- Physician office staff
- Practice managers
- Compliance staff
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