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Note dictated 10 days later than DOS

  1. #1
    Question Note dictated 10 days later than DOS
    Medical Coding Books
    I have a practice that dictates all of their notes. The only thing is that the dictated note is dated 1/10/11 and within that note it states DOS: 1/1/11. Is this acceptable? My take is that it is ok since they indicate what the actual DOS is.
    Thank you in advance for your help!

  2. #2
    Location
    Milwaukee WI
    Posts
    4,466
    Default DoDictation vs DoService
    This should not be a problem and is a fairly common occurrence.

    BUT ...

    If the dates REALLY are as you stated then I would just double check with the doctor to be sure that the DOService is really 1-1-11. It could be a typo and should have been 1-10-11!

    Also ... I would hope that this is not a regular occurence for your doctor. Best practice would be for the dictations to be done within 24 hours of service, though, of course, there can be exceptions to this.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Location
    Columbia, MO
    Posts
    12,945
    Default
    Hopefull the claims are not coded until the dictation is completed. You need the documentation to determine the correct codes.

    Debra A. Mitchell, MSPH, CPC-H

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