The chart note process is a joke.
Regardless of if your orders come with notes or not it depends on how the order is processed on whether you'll have to submit the notes post fact.
Its all in the batching process.
And.... even though RBCO received it does not meam the correct department receives them...such as the auditing team. Who I firmly believe is a group of third graders fed candy as payment rather than money. Then they're given three stamps: Approved, rejected, and the I have to go number two stamp.
With no specific guidlines or training they then pick any stamp at will and decide if you will be paid or not.
So there you have it. I've had identical notes from the same hopital accepted on one patient then rejected on a different one.
This is not going away. You know how I know? We have over $8000 in chart notes not received pending in our AS400. Do the math on nearly 2000 locations. This is working VERY well for management. V.E.R.Y.