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Office Procedure Documentation Form

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Last Post by Jessica 9 years ago

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Jessica

(@jbelknap)

Posts: 16

Eminent Member

Topic starter

Our providers are looking for a way to document information required to bill for certain minor office procedures. We are a primary care office and routinely perform nebulizer treatments and removal of impacted cerumen. They have been using Minor Procedures-CCC for things like skin tag removal and I&D, but are in need of something similar for the neb treatments and impacted cerumen. Any ideas?

Thanks so much!

Posted : June 15, 2015 3:41 am

mjharunk

(@mjharunk)

Posts: 191

Reputable Member

You could create order custom order lists with the appropriate description and CPT code for each procedure. The EMR can produce a Superbill for each patient if the provider enters the information through the orders module.

Posted : June 15, 2015 5:27 am

pdangelo

(@pdangelo)

Posts: 140

Estimable Member

If you are just looking for a better way to document, we use the "medication administration" html form to document neb treatments. We actually like that workflow a lot because it allows the provider to document the order and the nurse to document the treatment. We do a lot of neb treatments.

Cerumen removal documentation might be a good use of quicktext.

Posted : June 15, 2015 7:33 am

Jessica

(@jbelknap)

Posts: 16

Eminent Member

Topic starter

Great suggestions - thank you!

Posted : July 7, 2015 5:54 am

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