PPT-Quality & Documentation

For Heart Failure amp AMI Programs Nathalie De Michelis Cardiovascular Program Manager July 24 th 2014 Formal outpatient HF Clinic program 1535 HF clinic visits 551 single pts. Cheryl Bernknopf R.N., BScN. Assistant Director Centauri Summer Camp. Co- Chair OCA Healthcare Committee. Board Member of the ACN. PURPOSE. To provide the multidisciplinary team with a structured note format for documenting. 1. Please turn your cell phones off or to vibrate mode.. Welcome to.... ICD-10 Coding. No Recording of ANY TYPE allowed. . Mind expansion in process.... About Dr. Mario Fucinari, DC, CCSP, MCS-P. Certified Chiropractic Sports Physician (CCSP). Annual School of Addictions. May 3 – 4, 2015. Documentation Review. Section One. Medicaid Requirements. Every clinical record must include:. The Alaska Screening Tool (AST). All clients seeking services at a Community Behavioral Health Services clinic must complete the AST and it must be completed before are any assessments completed . EMS Documentation Uses. Legal record. Continuity of care with hospital. Internal quality assurance. Billing record. Today’s Environment. Government focus on fraud. Increased audits. Legally collecting every dollar . For Charter Educators . Sara . Hardner. Leon. Powell & Leon, LLP. Austin, Texas. The Objectives of Effective Documentation. The primary objective for creating effective employee documentation is to:. ethical, legal and clinical issues. Margaret . BROWN. Research . Fellow, Hawke Research Institute, University of South . Australia. Ravi RUBERU. Geriatric . Registrar, Royal Adelaide . California Department of Aging. Documentation Rule #1. Documentation. Utilizing the Participant Form Checklist. Official Document or . Business Record. Confirmation of . Signature and Date. Make sure that forms are . Documentation tells a story. Quality documentation tells a story that everyone can understand. What does your documentation say about you? . Financial implications. Documentation is a receipt, warranty and guarantee for payments received.. Physician Program Overview. Our CDI program works to ensure the documentation in the medical record captures the true acuity of our patients. Accurate documentation will reflect appropriate severity of illness and risk of mortality to support resource intensity and length of stay for our patients. . ICD 10 is being mandated by CMS. Compliance date is set at October 2015.. . ICD-9 Diagnosis Codes = 14,000 . ICD-10 Diagnosis Codes = 69,000 . ICD-9 Procedure Codes = 3,800 . ICD-10 Procedure Codes = 71,000 . Adherence to clinical practice guidelines (CPGs) is key to quality of care delivery. . Evidence-based practices for rational antibiotic use are difficult to monitor in private primary healthcare facilities in LMIC settings. . Hospitalist . Presentation . 10/18/10. What is CDI?. BRIDGING THE GAP . Between what CMS (Center for Medicare & Medicaid Services) recognizes (technical terminology of the ICD-9 system) and the clinical language physicians use to describe the patient’s condition. Mary Kouvas – Clinical Documentation Integrity Coordinator/Health Information Manager. 28. th. January 2021. Learning Objectives. Understand why accurate medical documentation is part of a good medical practice.. April 2013 M. Cornacchia . A QA program is a management system to help an organization “do work correctly.” . The QA Plan . is the document describing the QA program the project will implement.