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Wiki Chart Audit Question

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TAMMYS

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My doc has billed a consult and meets the criteria for that. However, for documentation purposes is it necessary for the referring doc's documentation to also be in the patients chart.

Thanks
 
TAMMYS said:
My doc has billed a consult and meets the criteria for that. However, for documentation purposes is it necessary for the referring doc's documentation to also be in the patients chart.

Thanks
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The referring doc's documentation should support that he/she referred the patient, for what, and to who.

It is not a requirement that you have their documentation in the chart. (Though physicians like to) An auditor would look at your consultation, see who referred the patient, and if necessary he/she can go back to the referring doc's notes to make sure they indeed referred the patient.
 
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