Good documentation: what it means for your physicians--and your revenue cycle.

Abstract

To powerfully influence physician documentation behavior--and improve patient care, reduce claim denials, and increase revenues: Examine each physician's documentation and coding habits and history through audits and, if possible, by observing physicians during typical patient encounters. Show physicians how they can improve record-keeping using specific examples from their own practices. Design encounter templates, superbills, and other documentation tools that address individual practice needs.