cmacpc
Networker
I am coding for a large group and deal with a large volume of Trauma as we are a level 3 trauma ctr. When I review the preops I may get them with ??? marks on the forms or blank and just a signtature. I have asked for them to state why they are unable to complete the form, the other day the anesthesiologist told me it was imposible as the patient was intubated, and this was on the anesthesia record, I explained that these are two different records and both need to be completed. I got the preop back & he wrote on the form " impossible pt intubated unable to explain!" Does any one else have these problems, does any one else review pre and post ops?? Any suggestions??
TIA
TIA