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This seminar is a must-attend for any nurse working in healthcare today. This program will help attendees improve their documentation skills, offer advice on TJC and CMS Hospital CoP issues related to documentation, and provide important recommendations to improve medical records.
This session will help attendees identify issues that need to be documented in order to maintain reimbursement by CMS and avoid allegations of fraud, abuse, and improper documentation by the recovery audit contractors. Our speaker will also cover what hospitals should do and document to prevent unnecessary readmissions. Good, concise documentation is vital.
|Charting bloopers||Admissibility of medical records||Late entries|
|Observation patients||HIPAA amendment requirements||Countersigning|
|Incident reports||Patient non-compliance||Abbreviations|
|Pain assessments||Document chain of command||Code charting|
|Admission assessments||Plan of care||Advance directives|
|RAC and documentation||Discharge instructions||Why document|
|Use of checklists||Documenting for others||Interpreters|
|Informed consent||CMS and TJC verbal orders||And so much more!|