ARCPC9491
True Blue
So, I just HAVE to share this... I am pulling my hair out as I speak...
Here's some *key documentation* from this note..
"Pt alert, smiling & laughing, responsive, NAD" , "vitals signs are stable & unchanged since arrival" , "GCS score, 15" ---- I'll just stop there.
& what in the world do you think was billed?
Critical Care!!!!! no time documented, nothing. & I REALLY don't think that this patient is "critically ill" AHH!!
I am struggling with these docs... I am constantly saying: "just because you are on the "trauma call" service doesn't necessarily mean every code ran & every patient that comes through that door is a critical care patient"
I have showed them the regs on critical care, talked, talked, talked until I was blue in the face...doesn't seem to be working.
Any other suggestions?!
Here's some *key documentation* from this note..
"Pt alert, smiling & laughing, responsive, NAD" , "vitals signs are stable & unchanged since arrival" , "GCS score, 15" ---- I'll just stop there.
& what in the world do you think was billed?
Critical Care!!!!! no time documented, nothing. & I REALLY don't think that this patient is "critically ill" AHH!!
I am struggling with these docs... I am constantly saying: "just because you are on the "trauma call" service doesn't necessarily mean every code ran & every patient that comes through that door is a critical care patient"
I have showed them the regs on critical care, talked, talked, talked until I was blue in the face...doesn't seem to be working.
Any other suggestions?!
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