• 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 requirements

Create Wiki
T

TY0411

New
Messages
1
Location
Jerome, IL
Best answers
0
I was trying to find any articles or something from CMS regarding the requirements on what is the maximum allowable time from the time the patient is seen until dictation or documentation has to be completed. Or what are your thoughts on this? Thanks!
 
I don't think you're going to find any CMS guidelines on this. The concern is the provider forgetting the info and trying to remember what was done to the pt. I've compared physician documentation from memory and cheat sheet documentation and have found that providers will usually forget something they did when dictated later w/o a cheat sheet.
 
I recommend that you contact your local carrier. They may have something in writing. My carrier:

Documentation Pointers

"Medicare expects the documentation to be generated during the time of service or shortly thereafter."

Vague? Yes...
 
You must log in or register to reply here.
Top