billing compliance

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    Wiki Required documentation for billable services - Nurse Visits

    Hello, I am looking for guidance on required documentation. Are SOAP notes and/or EHR master notes required for lab only or vaccine only visits (not with a provider)? Examples: Nurses Visit: Vaccine only, Nurses Visit: Covid vaccine only, Nurses Visit: Lab work (G0328, 82962, etc.) I appreciate...
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    Wiki MFM Billing for Antepartum Care Only Codes

    My provider is a MFM whom also delivers patients. If my provider delivers the patient, we would bill for the global delivery(antepartum and postpartum). There has been a few instances where the hospitalist will deliver and bill for the delivery. Then the patient will come to our office for...
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    Wiki Coding and billing from incomplate records

    I am questioning the legality and ethical propriety of coding and billing medical procedures from the doctor's handwritten notes on the patient's hospital facesheet. In this situation, the doctor is recording the date, the procedure and Dx description for hospital inpatients on the patient's...
  4. C

    Wiki Coding and billing from incomplete records

    I am questioning the legality and ethical propriety of coding and billing medical procedures from the doctor's handwritten notes on the patient's hospital facesheet. In this situation, the doctor is recording the date, the procedure and Dx description for hospital inpatients on the patient's...
  5. C

    Wiki Coding & billing from incomplete records

    I am questioning the legality and ethical propriety of coding and billing medical procedures from the doctor's handwritten notes on the patient's hospital facesheet. In this situation, the doctor is recording the date, the procedure and Dx description for hospital inpatients on the patient's...
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