You no longer need to document the individual elements in the record. A provider may simple write that a focused exam was performed or reviewed.
Yes, they can review a nurse's exam now. On Feb 2, 2017, at 7:42 AM, Tish Poserina <[email protected]<mailto:[email protected]>> wrote: WARNING: This email originated outside of the Sutter Health email system! DO NOT CLICK links if the sender is unknown and never provide your User ID or Password. Can I get a clarification re focused assessment? Most recently, if a physician documents "a sepsis exam" or "perfusion exam" completed, would that prompt the abstractor to say "yes" to the components required for a focused exam? And if so, would that still mean the components must be documented individually in the record? I may be mis-interpreting the latest CMS update. Thank you Tish Poserina RN, MSN-Ed, CCRN-CMC, CNRN Sepsis Coordinator St Mary Medical Center 1201 Langhorne-Newtown Road Langhorne, PA [email protected]<mailto:[email protected]> Contact: 215-710-4347 Spectralink: 215-710-7644 <image001.png><image002.png> Confidentiality Notice: This e-mail, including any attachments is the property of Trinity Health and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please delete this message, and reply to the sender regarding the error in a separate email. _______________________________________________ Sepsisgroups mailing list [email protected]<mailto:[email protected]> https://na01.safelinks.protection.outlook.com/?url=http%3A%2F%2Flists.sepsisgroups.org%2Flistinfo.cgi%2Fsepsisgroups-sepsisgroups.org&data=02%7C01%7Ctownsesr%40sutterhealth.org%7C5f3311c29a464ba89ed008d44b82182d%7Caef453eadaa243e0be62818066e9ff63%7C0%7C0%7C636216469504206180&sdata=uocZIzt5OaYldoamWTbQvgkRBQMAM2yJc2kgxUOV7uk%3D&reserved=0 _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
