Another suggestion. When you stated "that everything is above board," I am not certain what you meant. If some of the documentation is not "above board," you may not directly make changes. However here are some things you can do: in the situation where a physician has not signed a cert or re-cert. the administrator or HIM Director contacts the physician, has him/her come into the building to make a LATE-ENTRY which is documented as such. Or, if a therapist "boo-booed" there should be a "quality report" from the Department Head stating that the documentation was reviewed and any questionable documentation was reviewed with the therapist and then clarified in the report. This is one reason why ongoing QI of therapy documentation is so important, don't wait until a crisis before correcting a possible problem with a therapist's documentation.
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 -----------------------------------------------------------/
