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Wiki Insurance audit - actual labs or will prgress notes

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sstlawre

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Physican has documented in patients progress notes that pt has positive antibodies. Is this sufficent to survive an audit by a commerical payer or are actual labs needed to validate?
 
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I would say that the progress note should stand alone. The physician based his findings on lab results. I assume that this is a denial and just submit the note.
 
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