• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Dictated Reports

Create Wiki
L

laur201

Guest
Messages
2
Location
Tacoma
Best answers
0
I was wondering if there are rules to what reports need to be dictated and what ones we can code from handwritten notes. I am particulary curious about Consultations and Discharge Summaries. I thought that as long as we had some form of documentation to support our codes, that would be ok. Thoughts anyone?
 
To the best of my knowledge you don't have to dictate anything, ever. It can all be handwritten.

The only rule I am aware of that is similar to this is actually the exact opposite. It states you must have certain things on the charts within certain time frames and if the note or report is pending transcription you need to put a written note in the chart until the transcribed note is in place. Good example is the op note.

http://www.jointcommission.org/Accr...dmF33FO3XBLgbAAACAAAAOZ+CAIQDAAARAAAActgDAA==

Laura, CPC
 
You must log in or register to reply here.
Top