I have generally required separate documentation of a discussion with other providers to give credit in this data area on chart review. I.E.: Discussed with Dr. Smith who agrees with plan to ....."
I have a group who has been documenting at the start of all notes "patient was discussed on multidisciplinary rounds" or something similar.
They feel they should get the 2 points "credit" as this is their discussion with other providers. I feel like it's a bit gray - and the patient may not always have other providers involved in their care but a reviewer would not be able to discern this by the note.
Anyone have an opinion on this?
Lee Ann, CPC, CHA
I have a group who has been documenting at the start of all notes "patient was discussed on multidisciplinary rounds" or something similar.
They feel they should get the 2 points "credit" as this is their discussion with other providers. I feel like it's a bit gray - and the patient may not always have other providers involved in their care but a reviewer would not be able to discern this by the note.
Anyone have an opinion on this?
Lee Ann, CPC, CHA