coder2533
Guest
I am looking for some concrete information on a few topics. Links to the source would be great!
Which staff members can document which parts of the visit? I know this information, but I am looking for something in black and white from a reliable source.
Also, if the EHR software requires a provider to choose a diagnosis code, but they choose the incorrect one, can we change this on the claim form without the provider making the same changes to the actual record? We are still billing what he diagnosed, just using the proper code instead of the one he chose. Again, I am looking for something in black and white.
Thanks!!
Which staff members can document which parts of the visit? I know this information, but I am looking for something in black and white from a reliable source.
Also, if the EHR software requires a provider to choose a diagnosis code, but they choose the incorrect one, can we change this on the claim form without the provider making the same changes to the actual record? We are still billing what he diagnosed, just using the proper code instead of the one he chose. Again, I am looking for something in black and white.
Thanks!!