Highmark Inc., a Blues plan serving Pennsylvania, Delaware and West Virginia, is giving physicians a financial incentive to increase documentation of diagnostic codes in the electronic health record of patients insured under Medicare Advantage or health insurance exchange programs.
Too often, physicians enter a core diagnosis following a visit but do not also reference previous diagnoses that a patient has had, Highmark contends. That makes it more difficult for physicians to understand who their most complex patients are and provide follow-up care.
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