tci Part B Insider - 2004 Issue 36

E/M Coding: Boost Your Practice's E/M Levels With One Tiny Scribble

Warning: SOAP notes won't hold waterYour doctor doesn't have to be a poet to generate winning evaluation and management documentation.But if your doctor is neglecting to put down notes that indicate she reviewed a patient's systems in full when taking her history, then you could be composing a lament for your lost reimbursement. One simple note - "all other systems negative" - can help boost your E/M levels, say coding experts.Physicians often leave out the review of systems piece of medical documentation altogether, says consultant Cindy Parman with Coding Strategies in Atlanta. Doctors may do a great...

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