Physician Doesn’t Give The Length of Laceration in ER – Video

Q: [Length of Laceration] – “If the physician doesn’t give the length of a laceration in ER should you query him or can you use what the ER nurse documented in her flow sheet?”

A:  You chase him down the hallway and you get the information. No. [Laughs]

Physician Doesn’t Give The Length of Laceration in ER – Video

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Alicia:    Don’t take it from what the nurse documented. [Laughs]

Laureen: Yeah. No, they really need to document it, or what you have to do is you have to code the lowest available in that group. So, if you’ve got five different choices in a bubble, you got to go with the shortest one. Normally, most facilities will have a policy on how they want things like that handled, how they want the physician queried, or if they just want you to use the lowest denomination, so to speak.

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Laureen Jandroep

CPC, COC, CPPM, CPC-I.,Sr. Instructor for CCO.us. Laureen has over 25 years in the healthcare field. She graduated as an Occupational Therapist in 1986 and before long was running a successful therapy practice which did over 1.6 million in billing per year with a less than .06% rejection rate. Once Medicare changed how rehab companies were reimbursed this business was closed and Laureen eventually started a new company dedicated to teaching Medical Billing and Coding. Laureen has taught medical billing and coding since 1999 and currently does so through her comapny Certification Coaching Organization, LLC which does business as CCO.She resides in Florida with her husband of over 20 years Anthony and four children. They are active parents and spend most of their time these days just being parents which they love.

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