I work for a one doctor primary care office. We have 3 CMAs. Two of them are populating the visit notes for the day's visits with all of the information, including the exam, assessment and treatment. I am saying that at least the exam and treatment must be done when the patient arrives and in the room with doctor. One of them can do this as a scribe for doctor which would help him with everything that needs to be addressed at that visit. They can then put in the information doctor addressed in the visit. But they are saying that doctor will make the changes to what they have in the visit note if he changes them or will add anything he finds he needs to. Sometimes I don't see this happens but if he said he did it and sign off, its probably okay. I see a lot of this cloning with specialists to as it saves them time. Does anyone have any information on this scenario. My email is medss@comcast.net if anyone can email me.
The MA who works from home also adds to the assessment the following two codes in the Assessment: I believe this codes are for the labs or imaging places to use when they do these tests. Am I correct? I don't want to say anything unless I am sure.
The MA who works from home also adds to the assessment the following two codes in the Assessment: I believe this codes are for the labs or imaging places to use when they do these tests. Am I correct? I don't want to say anything unless I am sure.
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