tci Part B Insider - 2008 Issue 33

Part B Revenue Booster: Boost Your Bottom Line With These 3 E/M Documentation Steps

Tip: Don't miss the endocrine system when you're tallying ROSOne missed documentation element could mean the difference between reporting 99212 and 99213. Our experts weigh in on how to code E/M office visits correctly and increase your bottom line.Often, physicians are stingy on documentation in key areas. They ask the appropriate questions and perform the service, but may not document the question-and-answer portion very well. For instance, one coder reveals that she has one physician on staff "who rarely documents past, family or social history, another who documents past medical only, and another physician who documents only past...

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