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Additional Visits



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Sep 30, 2009 01:20 AM

Additional Visits


When an additional visit is made we document at the top of the note Scheduled Visit? No Explain___(example: AV to assess patient cardiac status). Then under Primary or pertient diagnosis: We put only the primary dx like DM II.

My question is when you make an AV, it is for a specific reason. Not a "routine visit", so ur in the home assess patient, possible call MD-report B/P status...etc. or even short visit because pt is sent to ER..whatever....

IS IT TRUE? NECCESSARY? REQUIRED? or WHAT ? that you not only document assessment, actions, blah blah on cardiovascular...da da..but ALSO DOCUMENT TEACHING/EDUCATION on DM II or whatever the primary DX happens to be?
Or Visit is: Not a billable visit, won't get paid for the visit if teaching of primary not on note, EVERY note must contain teaching on Primary dx no matter what?
HELP!


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2 Comments
No. 1
from caliotter3
Old Oct 02, 2009, 10:49 PM

Default Re: Additional Visits
Also interested in reading what is done in these situations.
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No. 2
from berube
Old Oct 03, 2009, 12:35 PM

Default Re: Additional Visits
my understanding is as long as some aspect of teaching is done you are OK,,,the pt obviously has co-morbidities and therefore you would be teaching on various disease processess on different visits, usually they are all intertwinned....NEVER heard of that being a non billable visit.
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