Health Information Management

Cigna bulletin boosts importance of good physician documentation

APCs Insider, February 20, 2009

Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

A December 2008 bulletin from CMS carrier Cigna should add an extra impetus for reluctant physicians unwilling to document to a higher degree of specificity.


Documentation of the three elements of E/M—patient history, physician medical decision making, and the exam itself—is separate and distinct from documentation of medical necessity, according to the bulletin. In other words, carriers will deny physician payments for services, such as initial and subsequent inpatient visits, if the services aren’t supported by good documentation demonstrating the medical necessity of those visits.


Read more in CDI Strategies. Association of Clinical Documentation Specialists (ACDIS) members can read the complete article in the upcoming issue of CDI Journal. To become a member, call our customer service department 800/650-6787 or e-mail customerservice@hcpro.com.

 



Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

Most Popular