Ask ECRI: How Long for Providers to Close a Visit Note

A risk manager recently asked for guidance on the amount of time providers should be given to close a visit note. In our response, we note that practitioners are expected to complete the documentation of services at the time they are rendered.

According to the Centers for Medicare and Medicaid Services (CMS)IOM, Publication 100-04, Chapter 12, Section 30.6.1, in reference to use of CPT codes, including evaluation and management...