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Tips on Reviewing MRs for Coding Accuracy

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Manage episode 513554106 series 2490675
Content provided by Terry Fletcher. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Terry Fletcher or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.

In this episode, Terry tackles a common pitfall in coding and CDI workflows: skipping straight to the Assessment and Plan (A/P) section of an E/M note to determine service level. Are you overlooking key documentation that could support medical decision-making, risk, or time?

She also calls out a frequent habit among surgery coders—coding from the report header instead of the full operative detail. What assumptions are being made based on titles alone? What critical elements might be missed or misinterpreted?

Terry breaks down why accuracy isn’t enough. Coders must be diligent, thorough, and intentional in their medical record reviews and extrapolation processes. Lazy shortcuts can lead to compliance issues, missed revenue, and flawed data.

Tune in for practical insights on how to elevate your coding practices and avoid costly oversights.

Subscribe and Listen

You can subscribe to our podcasts via:

The post Tips on Reviewing MRs for Coding Accuracy appeared first on Terry Fletcher Consulting, Inc..

  continue reading

101 episodes

Artwork
iconShare
 
Manage episode 513554106 series 2490675
Content provided by Terry Fletcher. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Terry Fletcher or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.

In this episode, Terry tackles a common pitfall in coding and CDI workflows: skipping straight to the Assessment and Plan (A/P) section of an E/M note to determine service level. Are you overlooking key documentation that could support medical decision-making, risk, or time?

She also calls out a frequent habit among surgery coders—coding from the report header instead of the full operative detail. What assumptions are being made based on titles alone? What critical elements might be missed or misinterpreted?

Terry breaks down why accuracy isn’t enough. Coders must be diligent, thorough, and intentional in their medical record reviews and extrapolation processes. Lazy shortcuts can lead to compliance issues, missed revenue, and flawed data.

Tune in for practical insights on how to elevate your coding practices and avoid costly oversights.

Subscribe and Listen

You can subscribe to our podcasts via:

The post Tips on Reviewing MRs for Coding Accuracy appeared first on Terry Fletcher Consulting, Inc..

  continue reading

101 episodes

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