I’ve been reading a bunch of things on CMS guidelines and I’ve found quite a bit regarding documentation in the HPI, on any level, being done only by the billing provider. Here is a link to just one example:
https://www.aapc.com/blog/27349-confirmed-billing-provider-must-document-the-hpi/
Our revenue cycle director says pressure for this is increasing and we are having more conversations about how it is not inappropriate for RN or MA to conduct a PHQ depression screening, that screening they do should NOT copy directly into the HPI. It can be given to the provider but they should enter it. Currently our support staff is still doing the screenings. But we’ve confirmed with eCW that the PHQ cannot be re-mapped to copy to a section like Preventive Medicine. I’m afraid our next step might have to be to pay eCW for a new copy of the PHQ-2, PHQ-9, and PHQ-9A forms and have them copy in another location.
Has anyone else had a discussion like this? Thanks for any feedback!