unsigned notes

smaher82

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weymouth, MA
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Hi

I have 2 providers that fall behind constantly with signing their notes. My question is can I bill for a service with out the note being signed knowing they will eventually get to it (we have an emr and it will stay on their desk top ) or do I have to hold it aside?

Thanks for any imput
 

btadlock1

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Lubbock, TX
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Hi

I have 2 providers that fall behind constantly with signing their notes. My question is can I bill for a service with out the note being signed knowing they will eventually get to it (we have an emr and it will stay on their desk top ) or do I have to hold it aside?

Thanks for any imput
Technically, when you send out a claim, you're certifying that everything on it is true, and is supported by valid documentation. That's not possible, when the note hasn't been signed - if the doctor hasn't verified the accuracy of their note, then you can't be certain of the accuracy of your codes. If I were in your shoes, I'd hold the charges. ;)
 

Evelyn Kim

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Local Chapter Officer
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San Antonio, TX
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I agree, I would add that for providers who are presistantly late in signing their notes you might want to get with the office manager to set up a reminder system in the EMR that will prompt the provider to sign the note in a timely fashion.

One system I worked with would actually lock the physician's schedule if he exceeded the practice standard for signing his documentation.
 
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