I send all documentation in the clinical record for the time frame in question. This would include, at least, the integrted nursing notes, physician orders, rehab., all pertinent MDSs. I send more only if the FI requests more. If the claim is denied beyond the reconsideration and goes to a fair hearing, you may request of the FI to bring additional information. At that time, if it is pertinent, take additional information such as supportive letter from family, cna flow sheets not on the clinical record, etc. It isn't always necessary to send the entire clinical record. Carefully read what the FI asks for and then send only that information. Also, many FIs have a standard list which they send stating whet they want to review.
Gail ----- Original Message ----- From: <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Monday, April 12, 2004 7:55 AM Subject: CHECK LIST FOR CHART REVIEW. > I was wondering if anyone had a check list for what should be in a chart before sending back info for med a claims review. I am not a therapist but I need to know if everything there and is above board. Also any info how to best support your claim. THANKS IN ADVANCE! > > Robert W Darr RNAC RAC-C > Sunny View Care Center > 410 NW Ash DR. > Ankeny,IA 50021 > Office: (515)964-1101 > Fax: (515)965-1935 > Home: (515) 462-9138 > [EMAIL PROTECTED] > [EMAIL PROTECTED] > /---------------------------------------------------------- > The Case Mix Discussion Group is a free service of the > American Association of Nurse Assessment Coordinators > "Committed to the Assessment Professional" > Be sure to visit the AANAC website. Accurate answers to your > questions posted to NAC News and FAQs. > For more info visit us at http://www.aanac.org > -----------------------------------------------------------/ /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/
