Revenue Cycle Insider

Oncology/Hematology Coding:

Don’t Get Left in the Dark by Dx Documentation

Question: One of our physicians is not putting diagnoses on their on-treatment visit (OTV) note. They are just noting the treatment site and would like coders to figure out the diagnosis — if it is metastatic versus primary versus benign — to save time. The physician would like proof that it needs to be documented. Any advice would be great. [...]
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