ED Coding & Reimbursement Alert - 2005 Issue 12
Enforcement Watch: Get MDM Descriptors From Providers Before Audit
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Article Overview
This piece explains why evaluation and management claims may draw audit attention and why documentation of medical decision making matters for physician practices. It is aimed at coding, compliance, and practice management audiences seeking to understand the documentation themes auditors focus on and the kinds of provider narrative support that can strengthen a record.
Why This Topic Matters
Accurate documentation can affect audit outcomes, claim integrity, and the ability to support reported evaluation and management services. The article highlights a common compliance risk area and the role of provider documentation habits in defending claims.
What You Will Learn
- Why medical decision making may receive greater audit scrutiny than other parts of evaluation and management documentation
- Why provider documentation of thought process and clinical considerations matters for audits
- How practice managers can encourage more complete documentation from physicians
- General documentation themes that can help explain treatment decisions and patient risk
Who Should Read This
- Physicians
- Practice managers
- Medical coders
- Medical billing staff
- Compliance professionals
- Auditors
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