KJenkins588
Networker
Hello,
Our providers are fighting us tooth and nail about adding the name of the trained observer during the time they are administering moderate sedation. I am finding that this should be in their documentation so we are able to bill the new 2017 moderate sedation code(s).
They say there are many people that float in and out of the department occasionally that they are unable to learn everyone's name so when there is a trained observer present during the duration of the sedation time they would like to document "patient was observed by trained nursing staff for the duration of the procedure".
I originally educated to them that they should be stating that observers name for sure and credentials if possible. And since they brought up the issue above I have been trying to research if that is acceptable and am unable to find a concrete answer. Reaching out to all of you to see if you have any insight on this.
So in short, can the provider performing the procedure state "nursing staff was present during the procedure to observe the patient"
Thank you all!
Our providers are fighting us tooth and nail about adding the name of the trained observer during the time they are administering moderate sedation. I am finding that this should be in their documentation so we are able to bill the new 2017 moderate sedation code(s).
They say there are many people that float in and out of the department occasionally that they are unable to learn everyone's name so when there is a trained observer present during the duration of the sedation time they would like to document "patient was observed by trained nursing staff for the duration of the procedure".
I originally educated to them that they should be stating that observers name for sure and credentials if possible. And since they brought up the issue above I have been trying to research if that is acceptable and am unable to find a concrete answer. Reaching out to all of you to see if you have any insight on this.
So in short, can the provider performing the procedure state "nursing staff was present during the procedure to observe the patient"
Thank you all!