Health Information Technologies and Processes

Physician Order Needing if Physician Documents Splint?

  • 1.  Physician Order Needing if Physician Documents Splint?

    Posted 01-27-2020 12:07
    Good Morning,

    I have a quick question.. a patient was seen in the ER and the ER provider placed a splint on the patient. The provider himself placed the splint and he also documented in the medical record that the splint was placed; however, he felt to place an order in the electronic record. Would it be ok to charge for the split placed without a physician order? is the documentation enough?

    Thank you in advance!

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    Mayra Allemond
    Him Director
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