If I check "high complexity" on one chart, then go onto another and forget to turn off "high complexity" the program pops up a warning.

It seems like in audits, you have to have the magical words written down. If you say it was complex, they believe you. If you take detailed history and detailed exam, with multiple co-morbidities and have to juggle several possibly dangerous therapeutic options, and you document all that -- but forget to check "high complexity -- you might not pass muster because the complexity is not self-evident to auditors. At least, that's what I have been told.


Tom Duncan
Family Practice
Astoria OR