All:
I do injections (knee,shoulder,hip,back,SI joint, etc) daily in my office. In order to bill for a procedure you need to have a SEPERATE note and it can't just be in the plan. Here is what I do. I have templates for all my procedures and work with those each time in the plan of the note. This way i have access to the procedure note reviewing my notes...but then i copy the text of that procedure note and then when i close out the note i add an addendum and paste the note. i don't ever bill from the addendum just as part of the superbill for the day's note.
It is a bit annoying and i wish AC would allow you a tab for procedure note and then automatically make a procedure note out of it but it doesn't yet.
Btw , those of you doing xray in your office, you need to have a seperate note for the documentation of the xray and the read in order to bill for that!
