An integral part of the medical visit process is documentation. It involves creating a comprehensive record of a patient’s visit, detailing issues or medical complaints, suggested medical treatment, required testing and more. As such, you want to ensure that the documentation is clear and concise as this information guides the medical coding and billing for the services rendered.
As you can imagine, there are several reasons for documenting a patient’s visit properly. Here are a few:
Given the demands of your busy schedule, staying updated with continuing education on how to improve provider documentation can be challenging. This is why having Billed Right as your trusted advisor can help. Our experienced team specializes in reviewing documentation and providing feedback on coding and billing guidelines.
We go into the documentation, only after the visit notes are locked:
Documentation review is just one part of the revenue cycle management process in Billed Right. Contact us today to learn more about how we can partner with you!
