• 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 Documentation Question...

Create Wiki
T

TLafleur67

Contributor
Messages
10
Best answers
0
I have a provider who sometimes dictates "exam unchanged" from previous visit. I know this won't withstand the weight of an audit. What kind of verbiage can he use (if any) to show he is reviewing the previous visit's note?

Will the below work?
"The exam findings from today's visit are unchanged from MMDDYY visit."
 
Exam cannot be documented in this way. Only the ROS can be documented as unchanged since the visit of dd/mm/yy. The exam must be documented in its entirety for each visit..
 
You must log in or register to reply here.
Top