Tune E/M documentation to meet the 2008 guidelines
Briefings on APCs, June 1, 2008
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New guidelines, old problem areas
The 2008 OPPS final rule challenges outpatient facilities to be more exact than ever regarding documentation and coding. This is nowhere more true than in the E/M process. Hospitals run into difficulty putting the rule into practice, shedding some cherished but inaccurate beliefs about documentation best practices, and widening the circle of responsibility for documentation improvement.
This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to Briefings on APCs.
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