AAPC - Back to school
Results 1 to 3 of 3

Thread: Incomplete Dictation Question--HELP!!!!

  1. #1
    Join Date
    Apr 2007
    Mesa Chapter

    Default Incomplete Dictation Question--HELP!!!!

    AAPC: Back to School
    I am performing an audit on a few doctors and I am noticing that on their OP report and E/M they are not signing the actual note. It is still in UNREVIEWED status on the physical note. However within their internal system they state that the status of the file is SIGNED meaning they signed the note for that day somewhere but there is not a physical note that has the signature of the MD. So if the insurance requested the medical record it would not show a signature on file. Only a print screen of the system could be provided.

    I am thinking that all of these would be unbillable since they are preliminaries even though their internal system says that they signed the note with a date stamp.

    Any thoughts? I am meeting with the MDs and want to make sure that all of my ducks are in a row and these are truly unbillable or not.


  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default Huh?

    Are you saying they cannot print out a copy of the electronic note AFTER they have signed it?

    Our notes are stored in an electronic system and "electronically" signed. They don't have an ink signature on them, but when you print them the statement "signed by Dr X on mm/dd/yy" is printed on the bottom. This is perfectly acceptable.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Join Date
    Apr 2007
    Mesa Chapter


    The problem is that when you print the electronic copy there is no signature or time/date stamp... So if submitted to insurance it shows UNREVIEWED above their name, instead of electronic signature and date/time stamp.

Similar Threads

  1. Dictation question
    By suela923@aol.com in forum Interventional Radiology
    Replies: 3
    Last Post: 08-09-2013, 05:52 AM
  2. Dictation question
    By suela923@aol.com in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 08-06-2013, 10:46 AM
  3. Dictation question
    By suela923@aol.com in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 02-21-2013, 08:27 PM
  4. Dictation Question
    By keallen in forum Medical Coding General Discussion
    Replies: 4
    Last Post: 09-12-2012, 10:02 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.