Improving Clinical Documentation Programs
Found 8 free book(s)
AN ESSENTIAL GUIDE TO CLINICAL DOCUMENTATION …
www.echima.caimproving documentation. The CDI Specialist A key aspect of the CDI program is to review documentation in a chart from a clinical perspective, keeping in mind disease processes, symptomology, and appropriate treatment. Physician documentation is often noted in clinical terminology, not always listing the diagnostic equivalent.
GUIDELINES: PHYSICAL THERAPY DOCUMENTATION OF …
www.apta.orgMay 19, 2014 · documentation guidelines in clinical areas, while at the same time providing guidance for the physical therapy profession across all practice settings. Documentation may also need to address additional regulatory or payer requirements. Finally, be aware that these guidelines are intended to address documentation of patient/client management, not
Outpatient Clinical Documentation Improvement (CDI): An ...
acdis.orgOutpatient Clinical Documentation Improvement (CDI): An Introduction worst health-wise during their ED treatment, and often the severity of the patient’s condition is lost during the admission process. CDI efforts can help preserve and accurately capture the patient’s initial
Successful Restorative Program
www.pacahpa.orgDocumentation Requirements Care must be taken to assure that documentation justifies the necessity of the Restorative programs provided. Measurable objective and interventions must be documented in the care plan and in the medical record. If a restorative nursing program is in place when a care plan is being revised, it is appropriate to
Center for Clinical Standards and Quality/Quality, Safety ...
www.cms.govThe facility has documentation of a facility infection control risk assessment conducted according to infection control professional organizations (e.g., APIC, SHEA) guidelines. Yes No: A.4. Facility has documentation of an annual review of the IPCPusing a risk assessment of both facility andcommunity risks, andupdates theprogram as necessary.
Community Pharmacists and Medication Therapy Management
www.cdc.govBest Practices for Cardiovascular Disease Prevention Programs 55 Domain 4: Community-Clinical Links Medication Therapy Management Community Pharmacists and Medication Therapy Management Medication therapy management (MTM) is a distinct service or group of services provided
QAPI TOOLKIT - NHPCO
www.nhpco.orgEnsuring clinical excellence and promoting safety through standards of practice. D. Inclusion and Access Promoting inclusiveness in our community by ensuring that all people — regardless of race, ethnicity, color, religion, gender, disability, sexual orientation, age or other characteristics — have access to our programs and services.
Evaluation and Management Services Guide
www.cms.gov(E/M) documentation, common sets of codes used to bill for E/M services, and E/M services providers. This guide is offered as a reference tool and does not replace content found in the . 1995 Documentation . Guidelines for Evaluation and Management Services and the 1997 Documentation Guidelines for Evaluation and Management Services.