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Wiki 1997 Documentation Guidelines

thelton

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Local Chapter Officer
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Farmington, AR
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During an audit meeting, I was told by one of my docs that the 1997 guidelines provides an "out" as far as what has to be documented if a patient presents to the office (family practice or urgent care) and is sent straight to the hospital for admission. He said he was told that would be an automatic Level 5 service and did not have to meet the usual documentation requirements. I have never seen nor heard of this, but I told him I would research it. So far, I cannot find anything to support his statement. Does anyone have any information on this? :confused:
 
No "Out"

I'm amazed by what physicians come up with sometimes. Probably he heard something from another doc who was at a seminar half listening to a coding presentation. The only connection I can make is that admission to the hospital is could be a factor in MDM. Or he got some mangled version of the Caveat based on patient condition. But there is no "out" for quick admission.

Jim S.
 
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