The burden of thorough documentation lies solely on physicians, and one of the most common reasons for claim denials is lack of medical necessity. Every encounter should be documented accurately and objectively for patient communication and risk management, regardless of the system used. Your documentation is critical in distinguishing legitimate medical necessity from potential fraud determinations.

Get a refresher on documentation pitfalls in this webinar and align your charting to the highest coding standards.

Best Bits

• A technique to improve documentation
• Common mistakes physicians make when charting that do not align with coding
• Case scenarios with strong and insufficient documentation examples
• When lack of medical necessity can lead to a false claim

Learning Objectives

Upon completion of this program, participants should be able to:

• Recognize how insufficient or incomplete documentation increases compliance risk and impacts revenue
• Improve documentation to clinically support coding and billing of each encounter

ACGME/ABMS Competencies

This program addresses the following desirable physician attributes: interpersonal and communication skills, professionalism, systems-based practice, and roles/responsibilities.

Recorded: April 21, 2023
Released: Aug. 14, 2023
Expires: Aug. 14, 2026