LauraLight
New
Hello! I've recently had an audit, and the auditor told me if the decision is made for patient to have surgery (patient will have general anesthesia and an abdominal incision) but the provider does not state a risk to patient, it goes into low risk category. Has anyone heard of this before? If so, can they share with me the guidelines? I have hunted and cannot find this "rule" anywhere.
It was my understanding that the guidelines written prevent someone from automatically tossing the visit up to a high category just because they are having surgery. But I've never heard of the absolute necessity to put it in a low category if the provider does not state it is risky to patient in one way or the other.
After all, I would think surgery would score higher risk than OTC meds, physical therapy, or orthotic shoes...correct?
It was my understanding that the guidelines written prevent someone from automatically tossing the visit up to a high category just because they are having surgery. But I've never heard of the absolute necessity to put it in a low category if the provider does not state it is risky to patient in one way or the other.
After all, I would think surgery would score higher risk than OTC meds, physical therapy, or orthotic shoes...correct?