Hospitalists’ Medical Billing and Coding Tips
Some of the most important aspects of hospitalist Medical Billing and Coding that hospitalists should be aware of are:
1. Complete Documentation of the Initial Hospital Visit
The paperwork of the initial hospital visit has three key elements. The components are
medical decision-making
physical examination, and
history.
To avoid down-coding, the physician should ensure extensive documentation of patients’ and others’ histories and systems, such as family history, to avoid down-coding.