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Why Does My Practice Need to Improve Documentation?

June 7, 2024
By: Laura Manser, CPC, CEMC, CPMA, CIRCC, RCC, Director of Provider Education

Unlock the Full Potential of Your Radiology Practice with Documentation Excellence

In the ever-evolving landscape of healthcare, the precision of radiology report documentation has never been more critical. As a physician, you strive to provide the best care for your patients, but are you ensuring that your practice’s documentation standards are meeting the mark for optimal reimbursement?

Why Documentation Improvement Matters

1. Reduce Denials and Downcoding: Precise and detailed documentation directly correlates with a decrease in claim denials and downcoding by coders. Inadequate documentation leads to lost revenue, consuming valuable time and resources to rectify.

2. Maximize Reimbursement: Enhanced documentation ensures that all provided services are accurately captured and billed, leading to increased revenue. It’s not just about getting paid; it’s about getting paid what you rightfully deserve.

3. Compliance and Quality Care: High-quality documentation supports compliance with regulatory standards and promotes better patient care by ensuring clarity and detail in every report.

How to Participate in Documentation Improvement

1. Education and Training: Engage with our series of modality-specific documentation education. Designed to enhance your understanding and implementation of best practices in radiology reporting, our program is your first step towards documentation excellence.

2. Continuous Quality Improvement: Adopt a culture of continuous improvement within your practice. Our regular audits and feedback mechanisms can help identify areas for improvement, ensuring your documentation standards evolve alongside industry best practices.

By focusing on documentation improvement, your practice can achieve a dual benefit: enhanced patient care and optimized revenue. Our educational program offers a comprehensive approach to elevate your radiology report documentation. Embrace the opportunity to rise to the pinnacle of radiology excellence. Let’s transform your documentation practices for a brighter, more profitable future.

Your journey to documentation excellence begins here.

Laura Manser CPC, CPMA, CEMCCIRCC, RCC, is the Director of Provider Education at PBS Radiology Business Experts. With 23 years of experience in radiology, specializing in professional and hospital coding and auditing, Laura is a valuable resource for physicians and coding teams nationwide. She is dedicated to accurate and compliant medical coding and to developing clinical documentation improvement programs within radiology practices. Laura enjoys educating coders and physicians to enhance coding accuracy and documentation, optimizing revenue. Known for her proactive leadership, strong work ethic, and commitment to excellence, Laura holds multiple coding certifications from AAPC and RBMA. 


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