JodiLynn
Contributor
Can someone please clairfy?
I have a claim that needs documention to support medical necessity.
Child came in for 4 yr wcc and failed hearing on both ears. We brought back a few weeks later to re-ck the hearing. The doctor only dictated @ the re-ck is "re-check ears" no metion of failing @ 4 yr, nothing else. Child did pass this time. There was other notes for this dos, but not pretaining to the hearing....
When I addressed this with the doctor, she said "she failed @ the 4 yr and thats why we did it again, refer back to that note."
I was under the impression that each office note has to be a stand alone note. That for the re-ck it should of stated " re-ck do to failure @ 4 yr wcc on XX-XX-XX. Or something along that line..
Can I have her add an addendum to her note saying that? I do not think BCBS will accept "re-ck ears" as supporting documentation.
Thank you!
I have a claim that needs documention to support medical necessity.
Child came in for 4 yr wcc and failed hearing on both ears. We brought back a few weeks later to re-ck the hearing. The doctor only dictated @ the re-ck is "re-check ears" no metion of failing @ 4 yr, nothing else. Child did pass this time. There was other notes for this dos, but not pretaining to the hearing....
When I addressed this with the doctor, she said "she failed @ the 4 yr and thats why we did it again, refer back to that note."
I was under the impression that each office note has to be a stand alone note. That for the re-ck it should of stated " re-ck do to failure @ 4 yr wcc on XX-XX-XX. Or something along that line..
Can I have her add an addendum to her note saying that? I do not think BCBS will accept "re-ck ears" as supporting documentation.
Thank you!