Author Topic: Consult Date Vs Dictation  (Read 3316 times)

Cpatel

  • Jr. Member
  • **
  • Posts: 81
Consult Date Vs Dictation
« on: October 26, 2012, 12:17:09 PM »
Hello!,

I am billing for a practice who does hospital consults. Most of the times docs dictates notes on next day of consult or may be after few days. Even though docs states  the correct consult date in dictation, transcription line is taking the date of dictation as consult date. Medicare always ask for consult notes. So when there is discrepancy of consult date on the notes, we send addendum for correct consult date with docs signature. Until now Medicare was considering the addendums and were processing the claims but recently I spoke with 2 Medicare reps and they both advised that Medicare will not consider addendum and doc will have to redicatate the notes. As per me and my docs knowledge, they cannot redicatate the notes by law.

Any one is aware if doc can redictate the notes? Any help to overcome this issue is appreciated.

rdmoore2003

  • Hero Member
  • *****
  • Posts: 631
  • Live Life and Love God
Re: Consult Date Vs Dictation
« Reply #1 on: October 26, 2012, 06:56:53 PM »
it sounds like doc needs to speak with transcriptionist.  this is why I love, love, love having electronic medical records.  you may have to use his notes from the hospital chart.  and no I dont think he can redo, wouldnt that fall under fraud, (doing something just to get paid by carrier)?

rdmoore2003

  • Hero Member
  • *****
  • Posts: 631
  • Live Life and Love God
Re: Consult Date Vs Dictation
« Reply #2 on: October 26, 2012, 06:58:14 PM »
sorry, i looked again and is he using a transcriptionist or a speaking software like dragon

PMRNC

  • Hero Member
  • *****
  • Posts: 4562
    • One Stop Resources & Networking for Medical Billers
Re: Consult Date Vs Dictation
« Reply #3 on: October 26, 2012, 10:30:47 PM »
Thank goodness I dont' have to worry about that.. My doctor will have to look me in the eye and NOT stare down at his laptop or Ipad.. I opt OUT.
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

Michele

  • Administrator
  • Hero Member
  • *****
  • Posts: 5927
    • Solutions Medical Billing
Re: Consult Date Vs Dictation
« Reply #4 on: October 30, 2012, 10:45:27 AM »
I agree that the problem is with the transcriptionist.  Is he using a service?  I would tell them they need to get it straight cuz it's costing doc money.  There are many transcription services and options out there!
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com

Medical Billing Forum

Re: Consult Date Vs Dictation
« Reply #4 on: October 30, 2012, 10:45:27 AM »

Cpatel

  • Jr. Member
  • **
  • Posts: 81
Re: Consult Date Vs Dictation
« Reply #5 on: November 06, 2012, 10:30:08 AM »
Ladies, thanks for response. Sorry for delay. I was stuck in storm so backed up with work.

I agree that it is transcription issue. My docs do inpatient visits so they use hospital transcription systems. Docs have not control over transcription company. They even don't know who does transcription for hospitals. We deal with more than 5 hospitals.

Hopefully hospitals will start using EMR soon.

rdmoore2003

  • Hero Member
  • *****
  • Posts: 631
  • Live Life and Love God
Re: Consult Date Vs Dictation
« Reply #6 on: November 07, 2012, 05:49:20 PM »
just to throw this out there, a couple of my providers use the dragon speaking software.   we have emr, however, for reports that can be anywhere from 10 pages and up, the dragon software comes in handy.

davidharvey

  • Newbie
  • *
  • Posts: 24
Re: Consult Date Vs Dictation
« Reply #7 on: November 09, 2012, 01:49:22 AM »
Thanks for provide a good information...  :)

Medical Billing Forum

Re: Consult Date Vs Dictation
« Reply #7 on: November 09, 2012, 01:49:22 AM »