mbarbour
Networker
In our hospital, the ER physicians bills seperate from the hospital- we bill for the professional fees only. We do have a coder that codes for just the doctors, she does have the patients record available when she codes-so she can look at the facesheet, etc. Sometimes our doctors do get a little slack and do not put everything they do in the dictation, but they will write it on the facesheet. For my own peace of mind I would like to know if ever audited, will they take a look at the whole chart or just the dictated information?