tci Outpatient Facility Coding Alert - 2013 Issue 2

Reader Question: CMS Is Looking for Better Legibility

Question: I have heard payers are cracking down on illegible provider documentation. My provider’s handwriting really is difficult to read sometimes. Is he going to face penalties? Wyoming Subscriber Answer: You should stress the importance of legible notes to your provider. He may, indeed, have problems with payers in the future if his notes cannot be read. You may even want to suggest that he print, use dictation, or invest in an electronic medical record (EMR) system to ensure legibility. Alternatively, a good template might serve him well as long as it is used properly. Templates also help...

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