Wiki E/M documentation presented as a letter to the referring physician

[1formissy]

Need some solid direction here please. Physician I am auditing is documenting as a letter to the referring physician. Components are there that support the CPT code billed. Historically I would allow these to be documented in this manner since everything is documented.
Are there any guidelines that you know of that says the physician CANNOT document in this fashion?

 

[ccollison]

Years ago, our providers did everything in letter format.(pre computer days). As long as there is documented support for the CPT billed. I would have no problem with it.

C Collison CPC, CCC, CPPM. CPMA

 

[1formissy]

Thank you. I agree also, just needed some backup.