Awareness : OBC Tips

Banish the Words ‘Routine’ or ‘Here for Follow-Up’

Physicians/Providers should avoid the word “routine” or only “here for follow-up”, when documenting a patient’s chief complaint, in the medical record.  Instead, be specific about why the patient is there to see you. The word routine could mean that the appointment is unnecessary, which is rarely the case.  Rather than “routine visit” or “here for follow-up” with no further explanation, consider phrases such as “here to establish care,” or “here for MRI or radiology results” or “here for an annual exam”  or “here for follow-up of hypertension”, otherwise the service will be disallowed by payors.