Hi All,
According to our coders, there needs to be notations in the progress note indicating that the provider has reviewed the information. For example, Social History, ROS if the clinical staff entered it, etc.
Does anyone use this workflow? At the moment, we do not. I think the fact that the provider actually locks the note, it is assumed the information was reviewed, however, that doesn’t seem to be the case. Does anyone have canned statements built into sections of the note that the provider can timestamp and bring into the note? I know that there is a co-sign feature for mid-level to provider, however, this really doesn’t fall into the same category. This is just stating that the provider has reviewed the information in the note that the clinical staff entered. And also, we have recently hired a scribe so they want the provider to be able to indicate that the information was reviewed.
Thanks!