tci ED Coding & Reimbursement Alert - 2005 Issue 4

Ease MDM Translation With Precise Documentation

Create clearer treatment picture to lock in reimbursement Physicians need to give a step-by-step account of their thoughts and considerations when deciding on treatment - or carriers may not give any payment to your prac-tice's account.  The hard part: Even if your physician keeps spotless records of history and exam, you could find yourself "downcoding" if the medical decision-making doesn't tell a good story, experts say. Think of the medical decision-making as a window to the doctor's thoughts as he determined a treatment, not just as a record of what he decided. The easy part: Documenting exam...

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