DecisionHealth, DecisionHealth - 2012 Issue 7 (July)

Template abuses: Avoid ‘all others negative’ when not all systems were reviewed

Physicians will check a box labeled “all others negative,” intending to indicate that the patient had no other complaints so other systems were not reviewed. But that type of checkbox indicates that the physician did review the rest of the systems, overstating in the documentation the work the doctor actually did, says Regan Tyler, CPC, senior consultant for DecisionHealth Professional Services.

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