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Continuous Quality Improvement: Treatment Record Reviews

• A Treatment Record Review (TRR) is a review conducted as part of Magellan’s Quality Assurance Program. • The purpose of the review is to monitor treatment record

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  Quality, Review, Treatment, Record, Improvement, Continuous, Continuous quality improvement, Treatment record, Treatment record reviews

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Louisiana Coordinated System of Care: Treatment Record …

sites.magellanhealth.com

Participation in the Treatment Record Review is a contractual obligation. Section 2.5 of the Magellan contract states: ... 23 Treatment Record Reviews 2/08/2016 •Clinical Practice Guidelines were adopted, developed and distributed by Magellan Health to serve as a guide for treatment based on sound

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Treatment Plans and Plans of Care - Magellan Health

sites.magellanhealth.com

Treatment Planning Elements Simplified Treatment Plan should include: •Individualized and Strengths Based Information ‒Plan relates to member’s initial reason for seeking services and diagnosis ‒Member’s strengths are utilized (e.g., writing, drawing, assertiveness) ‒Updated at least annually and when other changes occur (e.g., hospitalization)

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State Regulations Pertaining to Clinical Records

www.hpm.umn.edu

State Regulations Pertaining to Clinical Records . Note: This document is arranged alphabetically by State. ... (34) The facility must safeguard clinical record information against loss, destruction, or unauthorized use. ... A facility must keep records on all patients admitted or accepted for treatment. The medical records, including x -ray ...

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Clinical Setup: Medications and Pharmacy

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Clinical Setup: Medications and Pharmacy This manual covers Medication Time Codes, Medication Schedule Codes, Medication Treatment Setup, and Pharmacy. ... Click ZNew to add or double click on a Med Time Code to open the record for review or editing. The Med Time Codes entry screen will open.

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Clinical Practice and Guidance Review Interpretive ...

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CPG Interpretative Guidelines Page 2 of 6 Final and Approved for FY16 071615; Created 08/09/11 Reason Codes: MEDICAID RECORD REVIEW 1. The current Individual Treatment Plan (ITP) reflects the individual’s assessed needs and has been updated per consumer’s progress and changing needs.

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Charting Template/Outline - The Dental Hacks Podcast

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o Review the history thoroughly at the first visit, make notation or any pertinent information gained in the health history and patient interview in the clinical record and update the health information at all subsequent visits

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Clinical Documentation & Recordkeeping

www.nysscsw.org

! to record information that will support the adequacy of the clinical assessment, the appropriateness of the treatment/service plan and the application of professional skills and knowledge in the provision of professional services; and

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SAMPLE INITIAL EVALUATION TEMPLATE - Aetna

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treatment plan is to be developed with the patient, and the patient’s understanding of the treatment plan is to be documented in the medical record. Treatment Goals [after each item selected, indicate outcome measures (i.e. “as evidenced by”)]

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GUIDE TO QUALITY ASSURANCE CHART REVIEW …

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Clinical concerns discovered during the course of the chart review shall be reported to the Committee Chairperson, Supervisor, and/or Program Manager for resolution.

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Clinical Treatment Plans 89 Gehart Chapter 4 02/20/2009 Clinical Treatment Plans Clinical treatment plans provide a straightforward, comprehensive overview of treat-ment. They include the following parts: • Introduction: Defi nes who is being treated, if medications are being used, and what

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Clinical Documentation Requirements

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Clinical Record Documents – (1) Other Team Members determine that participation by Recipient or other Individual involved with Recipient care is detrimental to

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The clinical examination is tailored to the patient’s chief complaint (e.g., initial visit to establish a dental home, acute traumatic injury, second opinion).

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