BC Advantage - 2012 Issue 9

Something to Talk About

In the Age of Electronic Medical Records (EMR), many have seen notes become bloated with extensive histories, medication lists, old labs, and radiology that may not have been obtained at the present visit or even be pertinent. Ironically, many physicians do not document some of the work they actually did for the present visit and this can adversely affect their Level of Service (LOS) so that the code billed is not reflective of the work they performed. In the outpatient/clinic setting, physicians perform a great deal of behind-the-scenes work, outside of the patient's presence, to be able to diagnose...

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