kbrandt101
Contributor
I've got a provider that has built templates for specific insurances. While templates aren't a bad thing, the way these are built are greatly concerning.
The template looks like a complete document with prebuilt HPI, ROS, Exam, Assessments, and Procedures. Essentially, the visit looks complete enough without actually ever being completed by the provider that if a note is signed in error for whatever reason, it looks complete with all coding. Just maybe a missing E&M that may have been forgotten.
After discussing the possible complications and issues, I'm being asked for specific references to guidelines stating that it's not allowed. I'm getting kickback stating that if the provider changes it here and there that it's fine.
Is there any way someone can help direct me on references from CMS, AMA, or another reputable source that can help clarify the situation regarding pre-built templates?
Any guidance is greatly appreciated!
The template looks like a complete document with prebuilt HPI, ROS, Exam, Assessments, and Procedures. Essentially, the visit looks complete enough without actually ever being completed by the provider that if a note is signed in error for whatever reason, it looks complete with all coding. Just maybe a missing E&M that may have been forgotten.
After discussing the possible complications and issues, I'm being asked for specific references to guidelines stating that it's not allowed. I'm getting kickback stating that if the provider changes it here and there that it's fine.
Is there any way someone can help direct me on references from CMS, AMA, or another reputable source that can help clarify the situation regarding pre-built templates?
Any guidance is greatly appreciated!