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ICD-9 documentation

LJ

Networker
Messages
26
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0
I've recently started doing some chart reviews. I've noticed many instances where the diagnosis is numerical format only. The charts are paper charts and the documentation is handwritten. I have seen this more from psych providers. In the event of an audit (say CMS) would this be considered appropriate documentation?
 

btadlock1

Guest
Messages
1,504
Location
Lubbock, TX
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When you say "numerical form", do you mean they're just listing the ICD-9 code? How do they know they're picking the right one?:confused:

Brandi Tadlock, CPC, CPMA
 
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