My doctors seems to disagree with me on documenting
pulse oximetry in doctor's dictation. The MA had written down
in chart pulse ox and the rate.
example: pulse ox 197
But the doctor did not have it in his dictation. I mentioned it to him to do addendum to include the pulse ox so we can bill it. But he responded "No I don't have to have it in my dictation as long as the MA documented in chart it is ok " To my knowledge everything has to be dictated by the doctor in his dictation. Am I right, or was he right? I need to let him know the fact.
Thanks in advance
MsMaddy
pulse oximetry in doctor's dictation. The MA had written down
in chart pulse ox and the rate.
example: pulse ox 197
But the doctor did not have it in his dictation. I mentioned it to him to do addendum to include the pulse ox so we can bill it. But he responded "No I don't have to have it in my dictation as long as the MA documented in chart it is ok " To my knowledge everything has to be dictated by the doctor in his dictation. Am I right, or was he right? I need to let him know the fact.
Thanks in advance
MsMaddy