TTcpc
Guru
Could someone help me with what the documentation requirements are for a physician who is pronouncing a patient dead in the hospital inpatient setting? I have a physican who is wanting to bill a 239 when all the documentation in the chart from the nurse is that she found the body and the physician, unit manager, and family were notified. The only physician documentation is that patient "found dead and pronounced". The physician responded to the biller via email that she was actually on the unit and the nurse got the physician who went in and pronounced the patient and the physican called the family.
I am trying to find documentation regarding whether this is sufficient to use or if the physician must document more such as examined body, no pulse, no respirations, patient pronounced dead at 12:01 p.m. or something like that.
Thanks!!!
I am trying to find documentation regarding whether this is sufficient to use or if the physician must document more such as examined body, no pulse, no respirations, patient pronounced dead at 12:01 p.m. or something like that.
Thanks!!!