This probably won't be much help, but I used to work for a billing company that did the same thing. If there was insufficient or no documentation, we would still bill it and send a note to the drs office asking for clarification, etc. We also had a lawyer in our company so I'm sure that they somehow knew this was okay (?) I'm like you though, I still prefer to go by the "if it's not documented, it didn't happen" guideline. It just makes me feel safer. And the company I work with now does go by this guideline. So my hypothesis is maybe it just depends on the company and their policies and procedures?
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