I apologize if this is answered elsewhere, I have not seen it specifically:
Does the Nurse have requirements to document a Dx Code?
Is the Nurse permitted to see a patient and document in the Chart Body, "No diagnosis" and expect that the Coder will give it a 99211?
I am very confused about this; thanks to anyone with information for me.
Does the Nurse have requirements to document a Dx Code?
Is the Nurse permitted to see a patient and document in the Chart Body, "No diagnosis" and expect that the Coder will give it a 99211?
I am very confused about this; thanks to anyone with information for me.
99211 and Documentation
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