jeudi 24 septembre 2020

Documentation not completed for up to 6 months

I work in a critical access hospital as an inpatient coder and also as a documentation improvement specialist. One of our admitting providers has a very bad habit of not completing his H&Ps or Discharge Summaries in a timely manner; it is not uncommon for him to complete his documentation MONTHS after the patient has left. Obviously this leads to inaccuracies/inconsistencies in his documentation as well as billing delays.

Is this normal? Is this allowed at other hospitals? The...

Documentation not completed for up to 6 months

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