codingat50
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NPworking in Cardiologist's office. Sees patient, in her dictation it states
"The plan of care is in collaboration with a doctor". On further questioning, she states she collaborated with a physician in her practice. She feels she should get points under the Categories of Data to be reviewed, specifically the Review and summarization of old records and/or obatining history other than the patient and/or discussion of case with another health care provider.
Can anyone explain the discussion of case with another health care provider in a little more depth? I would imagine she needs to document who she spoke with and what the discussion was about.
"The plan of care is in collaboration with a doctor". On further questioning, she states she collaborated with a physician in her practice. She feels she should get points under the Categories of Data to be reviewed, specifically the Review and summarization of old records and/or obatining history other than the patient and/or discussion of case with another health care provider.
Can anyone explain the discussion of case with another health care provider in a little more depth? I would imagine she needs to document who she spoke with and what the discussion was about.