Forbes October 24, 2019
Too little attention is paid to documentation, coding, and billing in many medical practices. For patients, documentation simply means that your doctor is providing an account of your visit in your medical record. However, documentation and coding can affect revenue, quality of care, and possibly expose clinicians to legal consequences.
Too often doctors and other healthcare providers (PAs, NPs, etc.) cruise through their documentation and coding training, giving short shrift to the nuances of this key aspect of care delivery. In fact, many medical practices offer no formal training in the use of Current Procedural Terminology (CPT©) codes and Internal Classification of Diseases (ICD) codes. In these instances, despite such inadequate preparation, doctors simply begin seeing patients and documenting medical...
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