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E/M Code in Documentation

  1. #1
    Cool E/M Code in Documentation
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    I work for a large Hospitalist group. My doctors do their own E/M coding. Our HIM depart abstract the code from the documentation. They are now wanting the doctors to put their E/M code at the bottom of their dictation/handwritten note. We do not think this is necessary since they are abstracting. Does anyone know if there is a compliance rule or anything from Medicare stating that a physician can or can not add their code to their documentation?

    I appreciate any help I can get on this one.

    Thanks
    Randi


    "Life isn't about waiting for the storm to pass...It's about learning to dance in the rain."

  2. #2
    Default
    Quote Originally Posted by randi haight View Post
    I work for a large Hospitalist group. My doctors do their own E/M coding. Our HIM depart abstract the code from the documentation. They are now wanting the doctors to put their E/M code at the bottom of their dictation/handwritten note. We do not think this is necessary since they are abstracting. Does anyone know if there is a compliance rule or anything from Medicare stating that a physician can or can not add their code to their documentation?

    I appreciate any help I can get on this one.

    Thanks
    Many of our doctors on EMR have it on theirs, so I don't think there's a rule requiring/prohibiting it to be on there...Sorry!

  3. #3
    Default Oh, and by the way...
    I can't say that I approve of you avatar! I'm up here in Red Raider country, though! You guys avoiding the fires in Temple?

  4. #4
    Default
    We are trying to stay clear of them. Last Friday we were covered with pretty thick smoke from the fires.

    Red Raiders, I hope you are not a backer. Can I change you over to Longhorns? You would be so much happer. LOL
    Randi


    "Life isn't about waiting for the storm to pass...It's about learning to dance in the rain."

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