I'm having trouble imagining why it is taking the MD so long to do his notes that the denials are for timely filing; and you're right, Kattkia, in seeing that this needs to be addressed and corrected.
BUT what should happen is that an analysis of the effects of his delayed documentation should be made and presented to him with evidence of the direct negative impact his delayed notations have on his revenue.
I would not recommend that he simplify his dictation in order to circumvent the basic problem, which is that he is not completing his documentation in a timely fashion.
Billing based on time for circumstances when counseling/coordination of care comprises >50% of total face-to-face time should be the exception, not the rule.
F Tessa Bartels, CPC, CPC-E/M
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