leastratton1001
Contributor
Physician sees a patient on 4/17 however does not finish all of their documentation on the date of that encounter and adds documentation in 3 days later. Guidelines that that documenting clinical information in the medical record counts towards time on the date of the encounter. Does this mean that if a clinician fails to enter all of their documentation timely ( and goes back into the medical record the next day or a few days later to finish documentation that we can ONLY count the time spent documenting on the day of encounter or we are able to count it towards the visit it belongs to?