AAPC - Back to school
Results 1 to 2 of 2

Thread: Attending Notes vs. Chart Dictation

  1. #1

    Default Attending Notes vs. Chart Dictation

    AAPC: Back to School
    One of my doctors had a claim denied. When preparing the appeal, we noticed that a debridement was not documented.

    When we told him that it needed to be adjusted off as a coding error - he then provided us with his attending notes from the facility. And there is a handwritten blurb there, about this service. He thinks we should use his attending notes to appeal.

    Any thoughts on this, from anyone?

    Thank you,

  2. #2
    Join Date
    Apr 2007
    Sioux Falls South Dakota


    Does this handwritten note contain all the information you need, such as patient name, DOB, etc; the DOS; the facility; the description of the procedure, and the doctor's signature? Some facilities do still use handwritten notes, and as long as all needed information is there, and they are legible, they are still documentation.
    Lucinda (Cindy) McGarry, CPC-P
    Applications Specialist
    Avera Health Plans
    Education Office Sioux Falls SD Local Chapter
    Past President Sioux Falls SD Local Chapter

Similar Threads

  1. Chart dictation question
    By lporter in forum Compliance General Discussion
    Replies: 0
    Last Post: 09-10-2015, 06:31 PM
  2. Dictation/Closing of notes
    By bprater in forum Billing/Reimbursement
    Replies: 0
    Last Post: 01-17-2014, 09:18 AM
  3. Chart notes
    By bill2doc in forum Family Practice
    Replies: 2
    Last Post: 08-05-2013, 01:33 PM
  4. Examples of chart notes for multiple 96372
    By ollielooya in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 07-31-2011, 10:37 PM

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.