I'm trying to write a reply and I keep confusing myself! I know what I mean but am having trouble getting it out, so let me try again
Pt comes in for their appt. the Dr visits with them, writes notes on the same form that the MA wrote the vitals on etc. Pt leaves.
The written visit notes go along with the superbill to billing for processing.
OR
Pt comes in for their appt. the Dr visits with them, writes notes on the same form that the MA wrote the vitals on etc. Pt leaves.
The written visit notes go along with the superbill to billing for processing.
The Dr then talks about the visit on a tape recorder which then gets to the transcriptionist, who then sends the typed dictation back to the Dr, the dictation is then filed in the Pt's chart
I'm wondering if the Dr can do the dictation in place of the written notes that took place at the time of the visit. I'm thinking the Dr has to write his visit notes to support the coding of the visit, and if he chooses to have dictation of the visit it's just an added bonus type thing.
Is this right?