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Nursing Documentation Requirements

  1. #11
    Columbia, MO
    Medical Coding Books
    I hate to disagree but it cannot be a billing issue with out it being a documentation issue first. And was in the nursing school curriculum that both start and stop times were to be documented by the nurse. If they do not do it then who? The biller cannot bill without it. And it is a patient care issue since it is necessary to know how long an infusion has been going for good patient care. So I respectfully disagree with you.

    Debra A. Mitchell, MSPH, CPC-H

  2. Default Infusion coding
    I was always thought that if the stop time wasn't documented we couldn't code for the service. I have seen facilites down code the service to a IV Push 96374 instead of an infusion if there is no stop time. Do you agree with this practice?

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