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Grants Pass, OR
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With the new E/M coding structures that have been put into place this year, for doctors who do a lot of chart note dictation and have their chart notes transcribed later, will this cause a read flag in regards to the new timekeeping measures? (Sorry, I'm new!)
 

SharonCollachi

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Clovis, CA
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What about it do you think would cause a red flag?

Our MA keeps a printed schedule on her desk, on which she can make notes. She writes down the time the doctor starts looking at the notes for the patient, then he sees the patient, and she writes down the time he finishes. If he doesn't dictate immediately, but does it at the end of the day, he writes down the amount of time the dictation app shows him he spent dictating for each person, right on his hand-written notes.
 

csperoni

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Selden
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I don't see a red flag either. Just remember IF you are coding based on time, if 2 days later, the provider spends 5 minutes reviewing/correcting/signing off on the dication, you can't count that time. Only time spent the day of the encounter.
 
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