tci Part B Insider - 2004 Issue 26

COUMADIN CLINICS: Tailor Your 'Flow Sheet' To Specific Patients

Carrier bulletin offers clues on tailoring your documentation If your practice has a dozen Coumadin patients coming through for Prothrombin Time International Normalized Ratio tests, it may not be able to bill 99211 for each of those patients, say experts. But setting up the correct systems to document the encounters that your nurses are providing anyway can help to justify a 99211 claim in more circumstances. MedSouth Healthcare in Dyersburg, TN uses a flow sheet that allows the nurse to check the patient's prothrombin time test and other results against acceptable ranges, according to Dianne Wilkinson, director of quality...

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