Even if you're already good at doing Chart Reviews...
You can do BETTER!
There at least eight specific areas you need to think about when doing a truly thorough chart review. But is that how you do it now? Can you name them and how you should go about looking for insufficiencies in the record that ultimately cause almost 80% of Inpatient denials?
Recorded LIVE Thursday, June 5 2019
Two Industry Veterans join Ernie de los Santos to review the principles of documentation that facilitate improve documentation and preserve revenue integrity. The best results are had for patients, physicians and hospitals when charts are thoroughly reviewed for complete and accurate documentation of the Patient's Story.
Attendees will learn from these enlightening topics discussed:
- Why and How We Work
- Goals of Chart Reviews
- Purpose of Chart Reviews
- The METHOD Approach
- Best Practice Steps for Chart Review
- Importance of a Concise H&P
- Going Beyond the norm...
- Entering "The Undiscovered Country": The Progress Note
Getting Back to BASICS
What the Heck is the medical record's purpose, anyway? Communication? Care coordination? Payments? Quality? Data? All of the above?
Key Components of HPI
HPI is a chronological description of the development of the patient’s present illness and includes EIGHT components.
Progress Notes???
MUST AVOID Cut and Paste and Carry Forwards... and include EIGHT characteristics... Now, does that really surprise you?