I’m reaching out to other nephrology billers to see if anyone knows if amending a monthly dialysis limited note to a comprehensive note is a legal, acceptable, and common practice that you have done or heard of.

For example: A provider does a limited visit earlier in the month. Then, when the provider is at the dialysis unit again later in the month to do a comprehensive visit, the patient is absent. By the end of the month, there is only 1 limited visit captured for that patient – which means we are unable to bill out anything for that month. If the provider that did the original limited visit can justify that the work they have done falls under the guidelines of a comprehensive visit, can that provider go back and amend their note to a comprehensive visit so that we can bill out for that month?

Any feedback on this would be greatly appreciated!

Thanks,
Amanda