Good afternoon
I have several Provider’s whose notes are obviously a copy and paste. This is a grave concern for me, when auditing their coding, because the notes are never customized to fit the current visit. From the consultation or IE, and every F/U visit, the wording doesn’t change, so when I’m checking to see if they’re meeting the required elements for the level of service billed, it’s all incorrect. How do I get them to document exactly what was done with the patient on any given visit?
Thanks