Billing Memo
This memo is to remind the office of the important of documentation of coding and coding. If something has not been documented it does not happen then we can’t be billed for those services. There are minimum documentation requirements that are needed for reimbursement. Within documentation there are general principles that comes along with documentation. They are as followed chief complain of the patient on their time of visit. A relevant history of the patient. If any physical exam were done to that patient at the time of visit. Those findings with need to have documentation. Any diagnostic testing that has been order by the provider. The reason why the testing was of medical necessity. There also needs to be documentation of the assement of the patient. As well as if a form of diagnosis has been given by the provider to the patient. A plan of care is also needed for documentation and any recommendation of care. Along with the length of the visit with the health care provider. If counseling and or coordination have been provided to the patient. The finally requirement for reimbursement is the date of service that the patient was seen by the provider. As well as the legible identify of the health care provider.
Along with those requirements I would to inform you of the electronic solutions that exist that can help ensure. Accurate evaluation and management coding with in our office. The first solution is the use of an electronic superbill. It’s of great important with the use of the electronic superbill is used that the correct CPT codes are used for the diagnosis of the patient and there treatment.
The second solution that will help ensure evaluation and management coding with in our office. Are the use of claims that are done electronic through the computer. Transaction done by check, or by an automatic deposit. With the use these four money is