tci General Surgery Coding Alert - 2013 Issue 2

Reader Question: Stress Documentation Legibility

Question: I have heard that payers are cracking down on illegible provider documentation. Could my surgeons actually be penalized for poor handwriting? Wyoming Subscriber Answer: Yes, it’s true! You should stress the importance of legible notes to your provider, because he may, indeed, have problems with payers in the future if his notes cannot be read. You may even want to suggest he print, use dictation, or invest in an electronic medical record (EMR) system to ensure legibility. No panacea: Having an EMR does always make note legible. If there are typos or missing words, it may still...

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