I work for 3 general surgeons. One of my docs does not like to write in pt's charts, he dictates everything. That said, my dilema is this: He will dictate a hospital H & P for a surgery he is going to do in 3 weeks to a month and in the pt's chart at our office he just writes, "See Hospital H&P." Then he wants to charge a consult. I know that this is incorrect documentation but am having a VERY hard time explaining to him that he has to dictate a letter to the requesting physician and that the H&P must have the same date on it as the consult charges we submit. I have looked on the American College of Surgeons website for help and even called them but they just confused me even more than I already am. Can someone please help me with this? I desperately need to find something to give this doctor IN WRITING that says he cannot use the H&P for his consult dictation. HELP!