Part 3 of 3: Connecting the Dots with Documentation and Code

Connecting the Dots with Documentation and Code

Documentation and coding are the foundation to every patient visit. It is within the documentation content and code selection that gives the provider the best opportunity to be paid properly for the services provided and also to be in the best position to keep that money once it has been paid. This Fundamentals of Documentation and Coding session will address the essential components to this foundation. Learning objectives include:

- Identify the components to documentation and code to strengthen this foundation for each patient case

- Recognize the relationship between documentation and code to improve provider confidence in each of these areas

- Evaluate common risk areas in documentation and code that may be impacting reimbursement or increasing practice/provider risk