2022 Gastroenterology Reimbursement and Coding Update: Concrete Solutions to Strengthen Your Foundation in GI Coding and Billing (On-Demand) | November 2021-Top Documentation Errors in GI: How to Avoid Cloning Issues, Inappropriate Template Use, and Contradictions

Top Documentation Errors in GI: How to Avoid Cloning Issues, Inappropriate Template Use, and Contradictions

Video Transcription

Video Summary

In this video, the speaker discusses various topics related to medical documentation and billing. They talk about cloning, template use, contradictions, concurrent care issues, and how to avoid claim denials. The speaker emphasizes the importance of accurate and specific documentation, especially in relation to medical necessity. They highlight the need for individualized patient notes and caution against cloning or copying and pasting notes without updating them. The video also addresses the proper use of templates and the responsibility of providers to review and verify the accuracy of documentation entered by staff members. The speaker also touches on the use of voice recognition software and the importance of checking for errors before signing off on notes. The video provides insights from different Medicare contractors and offers recommendations for compliant and effective documentation practices. No credits are provided.

Asset Subtitle

Kristin Vaughn, CPC, QMC, QMGC, CPMA, ICDCT-CM

Keywords

medical documentation

billing

cloning

template use

claim denials

accurate documentation