Home Forums Discussions Coding and Billing How to document a 99211 nurse visit?

I am a new user of Amazing Charts. What is your recommendation in regards to dealing with a 99211 nurse visit as far as documentation, et cetera. Frequently, my nurse will do dressing changes, assess vital signs, etc. I am clueless as to the best approach in documenting this on Amazing Charts.

we do this all the time for suture removal, dressing change, etc.
simply have them document what they can easily do. For example our nurse notes read something like this:

CC: abcess/dressing change
HPI: pt here to change dressing, wound improved since last office visit
Exam: smaller abcess pocket
Assessment: abcess
Plan: return tomorrow for dressing change

Then they forward the note to my desktop. I may flesh it out to meet the criteria for 99211, then sign it. The beautiful thing about AC, we use the prior office visit as the template for the current note. So they don't really need to document much on subsequent visits.

They print an encounter form and leave it on my desk to sign and mark the appropriate codes for my biller.

Thank you.