tci Medicare Compliance & Reimbursement - 2018 Issue 5

Update Your Documentation Protocols with These 7 Steps

Integrate medical student E/M documentation policy changes with this advice. The new updates to E/M documentation by medical students promise to improve the notetaking processes and procedures across the spectrum of healthcare venues. Now is a great time to reevaluate your protocols and put a practice-wide plan in place about how to successfully take advantage of this policy change in your office. When creating your plan, take the following into consideration before implementing any changes regarding this policy, Todd Thomas, CPC, CCS-P, president of ERcoder, Inc., in Edmond, Oklahoma advises: The attending physician must be at the bedside with...

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