Results 1 to 2 of 2

documentation and coding compliance

  1. #1
    Default documentation and coding compliance
    Medical Coding Books
    where can I get the documentation guidelines for physician to code for DM uncontrolled.
    Some physicians document A1C not at target /DM unc/DM OOC/DM not well controlled etc.,

    Unc : Uncontrolled
    OOC: Out of controll

    Above abbreviations are not approved by our facitlity.

    Thank you

  2. #2
    Milwaukee WI
    Default Unapproved abbreviations
    If the abbreviations are NOT approved by the facility then they can not get credit for documenting the condition.

    You must impress upon the physicians that their documentation must meet the standard set by the facility. If there IS an approved abbreviation for uncontrolled DM, get that to the physicians so that they can begin using it.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. Auditor-Coding/Documentation Compliance
    By Sandy Stevens in forum Resume Postings
    Replies: 0
    Last Post: 08-29-2013, 07:49 AM
  2. Replies: 0
    Last Post: 05-09-2012, 06:46 AM
  3. Medical Coding and Documentation Compliance
    By RCoon in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 01-17-2012, 11:25 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.