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Date of service on operative report

Date: Aug 19, 2011

Question:

I have an odd question and will understand if you choose not to answer. I have one physician who refuses to put the date of service on her dictated operative/procedure reports. She insists that the DOS is not required. When I review our hsp policy regarding all physician documentation it doesn't include any reference to DOS on op report either, nor apparently does the JCAHO reference on this. The manager of Medical Records said he figured it was assumed that a dos was a reasonable data element to expect. He too was surprised to see it not mentioned. Do you have any advice on this? Thanks

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