• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Progress note needed when just an immunization given?

KolarSue

Networker
Messages
28
Location
Swansea, MA
Best answers
0
Hi my question is this;

Is a progress note, signed by a provider, needed in order to bill out an immunization when the patient comes in for the purpose of an immunization only. This is not done as part of an office visit; they are only on the nursing schedule for the injection. An order would already have been written at a previous visit for the patient to receive the immunization(s). Entries are also made into the patient’s immunization record which include the type of shot, date the shot was administered, who administered the injection, location injection given, along with the drug manufacturer, lot number, and immunization dosage.
My thought is that since all of this information is recorded, the patient can now just come in for the injection and leave.

Thoughts?
Thanks!
 
As long as the order has already been placed and signed, there is no need for an additional note from the provider. The nurse note for the immunization is all that is needed.
 
Top