I have always been told if it is not documented it did not happen. At this current practice I am at I find little to know documentation on some charges that have been submitted for pymt to ins. Example pt not scheduled but comes in for Xolair inject. pt brings in med and we charge just the 90772. There is nothing documented other than the superbill in the pt's chart. The nurse noted pt did fine and the amount and vile number. Is this Documentation?