• 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..

Hospitalist Services - Can you bill for visits without the physician completing his documentation.

Messages
3
Location
Pitkin, LA
We're having a discussion on whether or not we can send our hospitalist billing the charge sheets a physician has given us where he has he performed a discharge on a patient, but his discharge summary in the EHR is not completed or signed.
HIs charts are never delinquent for our facility as her completed them on the 30th day. So he is technically compliant with the facility requirements. He will just have an unsigned/unfinished progress note or DC summary for 15+ days and we don't feel comfortable sending his billing company that he has completed those for the DOS he states since they are not completed.

Does anyone know the rules on this? I'm strictly the facility coder.
 
Services should not be billed out with incomplete documentation. It is not completed until signed, even if appears all the information is there.
I only bill pro-fee, and never code out until signed.
 
Top