Glenda Posted Tue 09th of October, 2018 15:09:46 PM
The physicians are using an electronic medical record, and it appears that they are repeating the same note. A class I attended stated that in the CMS guidelines this is wrong, and has been recently reported in the Medicare guidelines as wrong and incorrect. I can not find the site for this on line at their web site. I am not sure if this is transmittal or general medicine documentation. Thank You.
Glenda E Flemister MD, FACP, FCCP
SuperCoder Answered Wed 10th of October, 2018 07:36:39 AM
Kindly provide us with some more documentation and details to know, what is exactly been repeated; and guidelines regarding what needs to be provided, so that we confirm it to be right or wrong. Thank you.
Glenda Posted Wed 17th of October, 2018 13:31:22 PM
In the documentation it appears that multiple physicians are using the EMR in the examination with the same phrase, “skin- warm and dry” appears to be a copy & paste. I understand that CMS does not permit this, and this does not meet coding criteria. I need to know where I can locate this on the Medicare/CMS web site.
G Flemister MD, FCCP, FACP,
SuperCoder Answered Thu 18th of October, 2018 14:01:44 PM