tci ED Coding & Reimbursement Alert - 2012 Issue 4

Reader Question: Don't drop the signature baton in handing off a patient at change of shift

Question: When an emergency physician turns an incomplete patient encounter over to a partner due to a shift change, does the physician turning over the patient need to make a note stating something like, "patient turned over to Dr. X at change of shift. She will continue care and make final disposition"? Or does the second doctor just have to sign behind the first?Michigan SubscriberAnswer: There is no foolproof, ultimate guideline about what to do in this situation -- it's entirely an internal group decision. Although some practices prefer to have the first doctor sign it, and others...

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