How Many Notes

Article

If a patient schedules an appointment for a work-related injury, then presents another acute problem to the physician, how must the visit be documented to justify billing both workers' comp and the patient's private insurance? Are two separate notes necessary?

Question: If a patient schedules an appointment for a work-related injury, then presents another acute problem to the physician, how must the visit be documented to justify billing both workers' comp and the patient's private insurance? Are two separate notes necessary?

Answer: A single note to document two services is fine. Of course, both services need to be supported. That is, if an auditor from either carrier were to review the record, each should be able to pull out her company's documentation requirements.

Newsletter

Optimize your practice with the Physicians Practice newsletter, offering management pearls, leadership tips, and business strategies tailored for practice administrators and physicians of any specialty.

Recent Videos
Transitioning from quantity to quality care
Choosing your waiting room music
Don't let your gift get lost in the holiday rush
© 2025 MJH Life Sciences

All rights reserved.