Melissa Harris CPC
Expert
Hello,
I was wondering if someone can assist me in how to document for Conscious Sedation in an office setting for Pain Management. We currently just use something like "Per patient request, the patient was then administered 2 mL of 2 mg/2 mL midazolam IM by the nurse." I am received denials from United Health Care. Should we be reporting time, etc? If I can get a sample of this I would greatly appreciate it.
Thank you
Melissa Harris, CPC
The Albany and Saratoga Centers for Pain Management
I was wondering if someone can assist me in how to document for Conscious Sedation in an office setting for Pain Management. We currently just use something like "Per patient request, the patient was then administered 2 mL of 2 mg/2 mL midazolam IM by the nurse." I am received denials from United Health Care. Should we be reporting time, etc? If I can get a sample of this I would greatly appreciate it.
Thank you
Melissa Harris, CPC
The Albany and Saratoga Centers for Pain Management