Coding, Chart Documentation and Reimbursement - Thurston ...
Coding, Chart Documentation and Reimbursement - Thurston ...
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 />
Volume of <strong>Documentation</strong><br />
• The volume of documentation is not the sole<br />
indication for a level of service<br />
• <strong>Documentation</strong> that meets guidelines for a<br />
given level of service (LOS) but is excessive<br />
for the treatment of the patient may not be<br />
considered when assigning a visit level<br />
• Assign E/M level based upon the relevant<br />
history, exam <strong>and</strong> medical decision making<br />
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