tci Part B Insider - 2005 Issue 10

AUDITS: Look For Signs Of MDM Thought Process

7 tips to boost your E/M levels and improve documentation Your records may have a history and physical exam as spotless as your mother's china, but if the medical decision-making is weak, auditors can come and shatter your claims to pieces. Luckily, experts have a few suggestions to help you repair your claims' medical decision-making. Use these seven tips to make MDM documentation a breeze.1. Ask your physician to list complicating factors. These could include comorbidities, other chronic conditions the patient may have, medications the patient is already taking or adverse reactions the patient had to previous medications...

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