exam documentation

My docs continue to have difficulty in documenting their exam and are often downcoded I have reveiwed the exam elements, as well as the 97 guidelines and we still struggle. Does anyone have ANY suggestions or tools I can share with them to help them get the bullet points needed for their code selection. I work for some great guys but I am about blue in the face thanks for any help. By the way, the specialty is Ortho.

re: exam documentation

I would hire Betsy Nicoletti to come speak to your doctors at a group meeting. The investment will be paid back in a few days of improved billing and reimbursement. She is a leading expert in this field, and often speaks to surgeons at their national meeting so she understands their way of thinking (and knows she has to talk a little slower with them- just kidding). Google her name for info