Wiki unsigned notes

[smaher82]

Hi

I have 2 providers that fall behind constantly with signing their notes. My question is can I bill for a service with out the note being signed knowing they will eventually get to it (we have an emr and it will stay on their desk top ) or do I have to hold it aside?

Thanks for any imput

 

[btadlock1]

Hi

I have 2 providers that fall behind constantly with signing their notes. My question is can I bill for a service with out the note being signed knowing they will eventually get to it (we have an emr and it will stay on their desk top ) or do I have to hold it aside?

Thanks for any imput

Technically, when you send out a claim, you're certifying that everything on it is true, and is supported by valid documentation. That's not possible, when the note hasn't been signed - if the doctor hasn't verified the accuracy of their note, then you can't be certain of the accuracy of your codes. If I were in your shoes, I'd hold the charges.

 

[Evelyn Kim]

I agree, I would add that for providers who are presistantly late in signing their notes you might want to get with the office manager to set up a reminder system in the EMR that will prompt the provider to sign the note in a timely fashion.

One system I worked with would actually lock the physician's schedule if he exceeded the practice standard for signing his documentation.