kjstearns
Guru
One of our docs performed an appendectomy on a patient and saw the patient the next day in the hospital. His dictation looked like this:
Abdomen soft, non-tender
wound looks good
continue I/V antibiotics
I know that this is a global visit so there will be no charge, but does it still require a chief complaint?? I know CMS says that a chief complaint is indicated at all levels, but does this include global visits?
Thanks in advance,
Kirsten, CPC
Abdomen soft, non-tender
wound looks good
continue I/V antibiotics
I know that this is a global visit so there will be no charge, but does it still require a chief complaint?? I know CMS says that a chief complaint is indicated at all levels, but does this include global visits?
Thanks in advance,
Kirsten, CPC