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Documenting on a different provider note

  1. #1
    Default Documenting on a different provider note
    Medical Coding Books
    I have a chiro provider who is doing his documentation on a othro provider's documentation.

    The ortho provider submits his documentation for medical management to the chiro, the chiro scribbles his documentation on the ortho providers note. Where can I find guidelines about this situtation?

    Thanks

  2. #2
    Default
    each physician, in order to submit a claim, must document his own note. From what I understand of your question, do these 2 dr's work in the same office with the same group NPI and tax ID number?
    It sounds as if they are simply being lazy. I would be very concerned about this set up and their records being audited.
    Teresa Kelley, CPC
    Detroit, MI AAPC Chapter member

  3. #3
    Default documentation
    No these are two different providers working in different scopes of practice the one who is scribbling his notes is a chiro doctor on to the orthopedic's documentation. I believe the ortho is submitting his documentation to the chiro because he see them for ortho problems and is able to give perscriptions.

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