I am currently auditing Critical Care Services and there is a physician who provides the EHR signed document that does not indicate that it is a Critical Care document, but will then Write using a normal pen on the bottom of the last page stating the total time spent providing critical care services. Would this validate the use of Critical Care billed services? The provider does not initial the area that he wrote on the document or provide an addendum on the document. It just looks like he printed the document then later wrote in the total time spent.

I don’t think that this validates, but just need some clarification and input please?

Thank you
Christina