I am presently seeking some advice from fellow cardiology coders regarding EKG documentation.
Sample: the EKG is performed prior to MD seeing the patient by office nurse, does the MD confirm, sign and date the EKG prior to adding to the patient's electronic chart?
Also, is the EKG findings documented in the patient's progress note. Thank You!
Sample: the EKG is performed prior to MD seeing the patient by office nurse, does the MD confirm, sign and date the EKG prior to adding to the patient's electronic chart?
Also, is the EKG findings documented in the patient's progress note. Thank You!