Hi, everyone!
Does anyone have a policy or guideline on what constitutes a "Problem" in the EMR, and what should and should not be added to the patient's problem list? We have a lot of disagreement between departments on this topic, and have been asked to provide some sort of guideline.
I'm sure other organizations must struggle with this as well. Does anyone have anything in writing?
Thanks much!
Jennifer
We experience the same issues and would also like to hear feedback from others.
We have set our problem list up for only diagnosis that we would bill on, I am not sure what others look like but we are a Specialty(Ophthalmology) and have it set to see all but in their ind. boxes and then "billable" problems in the Problem List.
I have a power point that can show you our work up and the Problem List and MU Checklist if you want email me and I can send it to you, no problem.
Dawn Despaw
EMR Coordinator