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PLAIDMAN

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my doc is stating in her note for new PFSH that "it was reviewed in Epic".....when I go to look for the hx, I can see it has been enterted BUT it has been reviewed /signed by the MA.

Am I correct that I cannot count this ? must be reviewed/signed by DR. ?

thx
 
In a perfect world, the doctor should review any part of the note that was done by a nurse or MA and sign off on it. However, I would say that it is still acceptable to take as long as they have signed the completed note, which ultimately means that they attest to the accuracy of ALL of the information in the note.
 
I think it is okay to accept because the provider documented in the note that he did review. The MA must have taken the history during initial intake and nothing has changed so it is still in the MA credentials. The provider indicated he/she reviewed, which is acceptable per 95 guidelines
 
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