rhart@wabashgeneral.com
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I have a documentation question. My coders and I need some clarification regarding the initial and subsequent visit. I have been requesting feedback from my coders on the providers they code for and their consistent feedback is that the providers need to state if the visit is initial or subsequent using that exact wording. When I go to the charts, key phrases like ?presents for? lets me know this is a initial visit. Phrases like ?returns for? and ?follow up for? lets me know this is a subsequent visit. My coders disagree. They state the documentation must state Initial or subsequent visit. Are they being too literal? Is there any documentation to support either side? We are all CPC certified, so I would like your opinions please.