In order for a physician to be reimbursed for his or her services, those services must be documented. Your documentation should be able to stand on its own; it is your story of the visit. Just imagine if the news reported, “two people found dead” and nothing else. You would want to know who, when, where, and possibly why. A good news story gives all pertinent information, and your documentation should do the same.
Letters to the Editor
Feedback from our Readers
To Document or to Doctor? That Is the Question
Is paper pushing taking away from patient care?
Coding Corner Answer: March 2008
April’s Coding Answer