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You are the practice manager for a large urgent care (UC) practice. Lately, revenue coming in
from billed visits has trended downward, despite the UC seeing increased volumes of sicker
patients. You review do a quick audit of a few EHRs that had been coded, billed, and reimbursed
and discover that multiple elements are missing in the EHRs. These fields, such as
demographics, history and physicals, medication history, etc. are missing pertinent information
related to the patient's visit, and resulted in visits being coded (and reimbursed) at lower levels of
care than what was actually provided. As the practice manager, what is your first action?

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You are the practice manager for a large urgent care (UC) practice- La.pdf

  • 1. You are the practice manager for a large urgent care (UC) practice. Lately, revenue coming in from billed visits has trended downward, despite the UC seeing increased volumes of sicker patients. You review do a quick audit of a few EHRs that had been coded, billed, and reimbursed and discover that multiple elements are missing in the EHRs. These fields, such as demographics, history and physicals, medication history, etc. are missing pertinent information related to the patient's visit, and resulted in visits being coded (and reimbursed) at lower levels of care than what was actually provided. As the practice manager, what is your first action?