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Thread: explaining to doctors

  1. #11

    Default educating the educated

    AAPC: Back to School
    my e-mail is lfuhrmann@longmontclinic.com for anyone who has a tool for education in regards to E/M coding. I feel the support from all and appreciate it.

  2. #12
    Join Date
    Apr 2007
    Milwaukee WI

    Default Medical necessity

    I'd say the first and more important thing a doctor needs to know is the MDM part of the documentation.

    Doctors start their thought process with "what's wrong with the patient." And, generally, they have a "template" in their head of what they need to do to deal with the problem(s). Because of experience they already have a notion of the different kind of history that is needed, or what systems/body areas need to be examined for a "hernia" vs a "cold" vs "chest pain."

    If you can show them the connection between these areas, and how it translates to the documentation required to arrive at the level of service, I think it helps the physicians internalize these processes.

    I don't have a magic way of achieving this (especially not in 15 minutes). But we meet with our surgeons every other month and have 5-10 minutes on their agenda. We (my fellow reimbursement manager and I) try to focus on one area each time, rather than inundate them with everything. Next time we're going to mention the importance of -24 modifier for unrelated services during the global period.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

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