I am looking for documentation regarding a provider referring to an H & P for diagnoses. I have found very little on CMS. Is there something out there that states they can not do this? I found a few things on a stand alone note, but I am sure they are thinking since the dx are on the H & P, that is okay. Aside from the fact, that the dx changes over the course of the hospital stay.
I would appreciate any help, been looking for this for awhile.
Thanks.
Nancy
I would appreciate any help, been looking for this for awhile.
Thanks.
Nancy