mrahn
New
I can not seem to find any information as to who is to document the Chief complaint for family practice/internal med. I need this information in reliable source to show the nurse staff and the physician. There has been some bickering back and forth between the clinic supervisor and the coder. I think that it should be the nurse staff when they document the vitals, but the clinic supervisor disagrees and thinks that it should be the provider.
Any information and reliable source would be greatly appreciated
Thanks
M. Rahn, CPC
Any information and reliable source would be greatly appreciated
Thanks
M. Rahn, CPC