We are a specialist office and have been researching how much documentation needs to be given within the patient’ s note to support the comorbidiitie dx codes that we are adding for risk adjustment coding . We have been told it is ok to put only the dx codes within the dx area of the note but have also been told that we need to put in further documentation stating that the patient has XXXX that is being managed by an outside physician and the condition may effect the outcome of care.

If there is any concrete documentation out there that anyone has to show what the true answer is – will you please share?

Thank you ,

Stephanie