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Coding, Chart Documentation and Reimbursement - Thurston ...

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<strong>Coding</strong>, <strong>Chart</strong> <strong>Documentation</strong> <strong>and</strong><br />

<strong>Reimbursement</strong><br />

Counseling & Coordination of Care (Time)<br />

• The document doesn’t adequately detail the<br />

nature of the counseling <strong>and</strong>/or coordination<br />

of care.<br />

Counseling with a patient <strong>and</strong>/or family in one or<br />

more of these areas:<br />

• Diagnostic test results, impressions <strong>and</strong>/or<br />

recommendations.<br />

• Prognosis; Risks <strong>and</strong> benefits of treatment options<br />

• Instructions for treatment or follow-up<br />

• Importance of compliance with treatment options<br />

• Risk factor reduction<br />

• Patient <strong>and</strong> family education<br />

22

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