Hospital Services – A different mindset for documentation

As we have moved into a new era of CMS compliance measures, the importance of solid hospital coding and documentation is a must to avoid unnecessary audits. With the onslaught of RAC’s aggressively beginning to focus on hospital services around the country, training internal coding staff and physicians will be the key to survival. Criteria for hospital admission services (99221-99223) are frequently under documented by physicians. Further, the use of time (counseling & coordination