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PFSH - Reviewed No Changes

  1. Question PFSH - Reviewed No Changes
    Medical Coding Books
    I was wondering if the documentation states Reviewed no changes, last detailed document date: mm/dd/yyyy. Do I need to worry about/or Should I be going back to that document to make sure it is documented and how much is documented in order to give the MD the appropriate credit? Would an auditer request that information and verify if it was done? Appreciate any help you can give on this.

  2. #2
    East Valley Kachina Coders (Mesa, AZ)
    If the progress note references a previous visit the date must be indicated and it's acceptable for an auditor to go back and check the referenced note.
    Erik J. Kilbo, CCS, CCS-P, CPC, CPC-I, CDIP, CCDS
    Manager - Enterprise HIM Coding
    Greenville Health System
    Greenville, South Carolina
    AAPC PMCC Instructor
    AHIMA Approved ICD-10-CM/PCS Trainer

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