cbeste
Guest
It is my understanding that if ancillary staff gather the ROS and past medical, family, and surgical history, or if this information was carried forward from a previous visit in an electronic medical system, the provider must make a notation that they reviewed and/or updated this information. A provider at my clinic is stating that by signing the note, she is confirming that all of the information contained within the note has been reviewed and verified by her. Is it true that a signature is all that is required? Or does an auditor require a statement that the provider reviewed the information that was either pulled forward from a previous visit or gathered at that visit by the medical assistant?
Thank you very much for any help with this
Thank you very much for any help with this