Pitfalls of An E/M Audit: Chief Complaint and HPI

CodeCast Podcast - Coding, Reimbursement, and Compliance

Failing an audit?
Inaccurate scores?
Lower reimbursements?

Don’t worry! Terry has you covered on today’s episode, which gets into detail regarding the pitfalls of physician documentation. The discussion revolves around the lack of certain elements of the history, to include Chief Complaint and HPI, and how leaving out important elements of documentation could drastically change the level of service and loss of revenue if you are not accurate and careful.

Auditors are bound by documentation rules: physicians need to be aware those rules are not only for their patient’s protection but theirs as well.

Today’s show will help give you the insight needed to make sure you are audit-proof in your documentation efforts.

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