Auditors, coders, billers, and even physicians often find themselves searching through pages of documentation trying to answer one basic question: what was actually evaluated, managed, and medically necessary during a single patient visit?
With note bloat from copied and pasted EMR documentation and pulled-forward notes, it has become increasingly difficult to determine what actually happened “today.” In this episode of the CodeCast Podcast, Terry breaks down this compliance challenge and explains how providers can better manage documentation to ensure accuracy, clarity, and compliance.