Lkimsey
Guest
We have an EMR that I do not like. We follow the 1997 Documentation Guidelines. In a recent review of a doctor using the EMR the statement: Normal musculature. No skeletal tenderness or joint deformity." The EMR gave the doctor 7 exam bullets for that one statement. I know that there are 6 body areas in the M-S exam but how can all six areas be counted in such a general statement. Our EMR support people tell us that is correct. I want proof. This definitely can affect the doctor's coding and billing. Does anyone out there have any suggestions or remarks. I would not count this as 7. HELP!!!!! Lynn Kimsey, CPC-I