Because our hospital will suspend a doctor's privileges if s/he is "delinquent" in completing charts (i.e. dictating op reports, admits or discharge notes, AND signing them), we WILL code without the signature, since we feel confident that the signature will be obtained in a relatively short period of time.
The only ones we hold are notes that require a statement of time spent (sometimes doctors add this info at the time they sign), or are missing diagnosis information (waiting for path, usually).
F Tessa Bartels, CPC, CEMC
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