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Wiki Originals Vs Photocopied Records

Thread starter heatherwinters
Start date Oct 8, 2008

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heatherwinters

Expert

Oct 8, 2008

In many cases, I have seen where original records (i.e. DOT Physicals) of exams leave the office because the patient requires an original. We then keep a photocopy in the chart. The photocopy is what the coding of the visit is based on. Is this appropriate, or will we be asked to repay money in an audit situation because we do not have original clinician documentation in the chart?

Thank you to all the reply.

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