amneske
Guru
Hello!
I am working on OB Triage accounts from the facility side and have noticed that many of them do not have any documentation from a provider. Often I see an OB triage note from a nurse stating the issue, such as “reduced fetal movements” and I see a NST was performed , but I don’t see documentation that the patient was seen by anyone other than the nurse. Is the OB triage note enough to code the diagnosis from when billing for the facility?
Thank you!
I am working on OB Triage accounts from the facility side and have noticed that many of them do not have any documentation from a provider. Often I see an OB triage note from a nurse stating the issue, such as “reduced fetal movements” and I see a NST was performed , but I don’t see documentation that the patient was seen by anyone other than the nurse. Is the OB triage note enough to code the diagnosis from when billing for the facility?
Thank you!