At our facility, we get these "love notes" from the chart auditors. They are chart corrections, 100% for billing purposes, and they ask us to modify charts as old as 2 weeks sometimes.
Ex: place verbal order for ekg and complete to drop charge; unchart foley cath insertion- part of admission orders; modify facility charge ticket to correct date of service; chart IV fluids/med infusion stop time to correct charge; document if diltiazem/nitro/amiodarone drip infusing at time of transfer, etc....
My problem is, and I have asked plenty of nurses and traveling nurses, is that NO ONE has done this at any other facility. And now this traveler has told me "any chart modification post-48 hours is considered fraud." Sometimes I cannot remember the patient, and most of the time I write "will not modify" but they are never happy with that response.
Is this legal, to modify charts so far out? I have googled the subject, cannot find any info. I work in Florida if it helps.
Thanks for any and all responses.