• 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

Create Wiki
C

cingram

Guru
Messages
155
Best answers
0
Ok so at my job the doctors see patients at the hospital but the hospital does not requre the doctors to dictate their follow up visits. I do not feel comfortable coding with no documentation and will not do it. is there any websites that you guys have that can help me present something to the doctors on why they need to do it and what can happen if they dont?
 
Documentation does NOT equal Dictation

The progress notes CAN be handwritten. They do NOT need to be dictated. A handwritten note is billable (as long as you can read it and abstract the appropriate level of service).

Hope that helps.

F Tessa Bartels, CPC, CEMC
 
At my previous office I would have to request the chart notes from the hospital for the dates the doctor said he saw the patient. It took a while to get the notes but at least I had something to go by.
 
You must log in or register to reply here.
Top