These algorithms have been in use for almost one year and have been modified according to feedback of beta testers. However, they are extremely complex given the number of visit types, exam types, and coding levels. It is still possible that some errors may still exist in the algorithms. Every clinician should have a thorough understanding of the applicable documentation guidelines. It does not teach you to code correctly by iteself.
Nothing replaces periodic coding audits to ensure regulatory compliance.
Coding should also be based on the overall intensity of the visit. Simply coding a higher level because the guidelines appear to support it is not appropriate. HCFA is definitely looking for software-generated upcoding. That option saves the clinician from having to learn anything about documentation requirements and will ensure compliance with documentation guidelines. However, it is lacking the real-time feedback which is useful in guiding the clinician to document more efficiently.