TLC
Guru
Right now our doctors enter their own charges/dx's in the EHR in a unapplied field. The Medical Asst's also enter EKG,urine,tb test etc, int the same way. The MA's are not certified. I then check them all and "enter" them for billing. I also add any charges that may have been missed or query the doctor on any charges I see that may need changing. . My question is we recently were acquired from another entity. "Someone" from there said ONLY the doctor should be entering charges and if anything needed changed I should have them change it. Nobody else should be entering charges. Well if I had to go back to the doctors everytime there was something to add as EKG,UA dip etc. that they have documented in their notes I would never get anything done and they would also hate me. Right now I just add them. I only ask them if it happens to be a wrong charge or dx they put in. Does anybody know about this. I know there are people that enter charges for their doctors on the "notes/op notes". I am a certified coder. Sorry so long. Thanks