DavitaBrannon03
Contributor
I have a Hospitalist that copies the ER provider's HPI and pastes it into their note with "Per ER MD:" as the title. Is this allowed? My gut tells me no, but I have searched all over to find a guideline that specifically states that the provider must document in their own words, but have been unsuccessful. Any help pointing me in the right direction is appreciated.
I have been down coding their visits to a f/u code (depending on whether the pt is IP or OP at the time of service) and I want to make sure that I am coding correctly.
I have been down coding their visits to a f/u code (depending on whether the pt is IP or OP at the time of service) and I want to make sure that I am coding correctly.