PPT-Documentation Guidelines : A summary of when to document what

NEED TO KNOWS Modified Charting by Exception To reduce repetitive charting of normal assessment detail nurses chart within normalexpected limits WNL WEL for each care category . Anthony Jukes. CRLD, La Trobe University. Things to consider. What kind of project? . Size/scope. Time constraints. Who is the audience?. What kind of outcomes do you/the community want?. What skills do you have?. . NEED TO KNOWS. ….. Modified . Charting by Exception . – To reduce repetitive charting of normal assessment detail , nurses chart within normal/expected limits (WNL, WEL) for each care category . General Outpatient Coding Issues. March 2, 2013. Advanced Evaluation and Management. . More than a roll of the dice?. History. Exam. Medical Decision Making. Jaci Johnson, CPC,CPMA,CEMC,CPC-H,CPC-I. 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 . Laura Triplett, Director, HIM. Roseann Kilby, Clinical Informatics Analyst. Becky Crane, Clinical Risk Manager. 367 Bed Community Health System in Quincy, Illinois . 2,000 Employees. 240+ Physicians. 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.. Case . Examples & . Highlights. When Documentation Gets in The Way of the Defense. Presented By: . Joanne . Gulliford Hoban. Morrison . Mahoney, LLP. Case #1 – Emergency Department . Example of documentation in ED by both MD & RN. Jan Malone 8. th. floor Nurse Educator. Importance of Documentation. Helps us track our patient’s progress. Conveys information between disciplines and shifts. Can determine therapy. Is part of the permanent record. Documentation Log. Assignments Note Taking. http://library.acadiau.ca/sites/default/files/library/tutorials/plagiarism/. http://www.fmtusd.org/Page/8774. http://library.acadiau.ca/sites/default/files/library/tutorials/plagiarism/. Update CSS Guide for PeopleSoft Fluid User Interface May 2015 Oracle PeopleSoft PeopleTools 854 Product Documentation Update PeopleSoft Fluid User Interface Copyright 2015 Oracle and/or its aff AHEAD Equity and Excellence in . Higher Education Conference. Boston, MA. July 13, . 2019. 6/19/2019. Loring Brinckerhoff, Ph. D. . Director, Office of Disability Policy. ETS. lbrinckerhoff@ets.org. . Agenda. Understand ‘ audit documentation’ . So that . we can prove that we have . complied with the requirements . in our . audit and assurance assignments.. Scope Para of Auditor’s Report. “.