kdearmas
Guest
I am a provider documentation specialist for a large physician practice management company. In radiology, we very frequently get requests from the Emergency Department for studies with the reason for exam/clinical history being "Trauma" with no other information. My radiologists know that when they dictate trauma as the reason for exam and the study is negative, that study will end up with an unspecified diagnosis code and after October 1st, may not get paid. We are working with our facilities to improve this but it is slow going.
Here is a common scenario:
Order from the ER for a CT Brain with a clinical history of "Trauma". The radiologist dictates a normal study with no positive findings.
Does anyone have any suggestions for my radiologists? Thank you! kd
Here is a common scenario:
Order from the ER for a CT Brain with a clinical history of "Trauma". The radiologist dictates a normal study with no positive findings.
Does anyone have any suggestions for my radiologists? Thank you! kd