All radiology needs a separately documented radiology report in order to report the professional component, a "blurb" in the EMR is insufficient. I worked with an ortho clinic that use to document as a blurb the results and during a routine audit, Medicare did not recognize this a radiology interpretation, they went back 7 years and recouped all monies paid for radiology.
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Debra A. Mitchell, MSPH, CPC-H
ultrasound documentation
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