I am auditing E/M notes, and I am struggling with giving credit for a Detailed or Comprehensive exam under the 95 guides.
The physicians document at least 8 organ systems for every patient (obviously a template), regardless of what they are being seen for. There isn't much detail for any of them and I don't know if I should be giving credit for a Comprehensive exam just because there are 8 OS documented? Should there be more details for each organ system?
Looking for opinions from other E/M coders or auditors....
The physicians document at least 8 organ systems for every patient (obviously a template), regardless of what they are being seen for. There isn't much detail for any of them and I don't know if I should be giving credit for a Comprehensive exam just because there are 8 OS documented? Should there be more details for each organ system?
Looking for opinions from other E/M coders or auditors....