hkgordon89
New
Hello,
I have several providers who have gotten in to the habit of not documenting or signing their office encounters for weeks at a time. For example, I have a patient who was seen on 6/12 but the note was not signed or documented until 7/3. Another is a study performed in the office in March but not signed until July 1st.
I’m in GA and have looked at Palmetto’s information but it is vague and doesn’t give a specific time frame for when something should be signed. It just says “Providers should not add a late signature to the medical record beyond the short delay that occurs during the transcription process.”
To my knowledge we do not have a policy in place for this type of issue and I would like advice from a compliance standpoint.
Would you still bill these encounters?
I have several providers who have gotten in to the habit of not documenting or signing their office encounters for weeks at a time. For example, I have a patient who was seen on 6/12 but the note was not signed or documented until 7/3. Another is a study performed in the office in March but not signed until July 1st.
I’m in GA and have looked at Palmetto’s information but it is vague and doesn’t give a specific time frame for when something should be signed. It just says “Providers should not add a late signature to the medical record beyond the short delay that occurs during the transcription process.”
To my knowledge we do not have a policy in place for this type of issue and I would like advice from a compliance standpoint.
Would you still bill these encounters?