This web conference is a must-attend program for any nurse, physician, or professional working in health care today. Accurate, concise documentation in medical records is the key to preventing claims of fraud and abuse and is vital if the records are reviewed by the Recovery Audit Contractors (RACs), the Office of Inspector General (OIG) or the Centers for Medicare and Medicaid Services (CMS). Yet many hospitals have seen an increase in documentation problems with the introduction of electronic health records.
Our speaker will discuss the importance of documentation to avoid allegations of malpractice, substandard care, accreditation nightmares and denial of reimbursement, and will provide more than 50 recommendations to improve documentation. The presentation will cover key Joint Commission (TJC) and CMS Hospital Conditions of Participation (CoP) requirements. In addition, it will identify issues that must be documented in order to be reimbursed by CMS, as well as avoid allegation of fraud, abuse and improper documentation. It will also review the new Medicare Outpatient Observation Notice (MOON) form for 2020.
This program will also assist in determining the fields that should be present as hospitals amend electronic medical records to capture the elements required by CMS and TJC, including requirements for protocols, standing orders and order sets.