I have a provider that is putting his procedure notes in the middle of his E/M notes. Does he have to Put his procedures on a separate page?
Does anyone have a resource/guideline stating how a procedure has to be documented?
I could only find one thing on this and it was from 2014 and did not really answer my question.
This is what I have https://www.aapc.com/blog/27690-know…nor-procedure/
It states "Documentation must support both the minor procedure and a separate, independent E/M service (e.g., the E/M documentation must stand alone). Although its not required, best practice is to separate the E/M note from the procedure note."
But, I need to know if the procedure has to "Stand Alone" from the office visit even if you are not going to bill for the office visit, as it is included in the charge for the procedure. Since the only information I could find on this was from 2014. I would like to have a def-anent answer to take to my provider education people.