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This is a must-attend program for any nurse working in healthcare today. The program will discuss legal issues in documentation, offer advice on TJC and CMS Hospital CoP issues related to documentation, and provide over 50 recommendations to help attendees improve their documentation skills.
Our expert will 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. This program will help hospitals use proper documentation to prevent unnecessary readmissions and transition to electronic medical records.
|- TJC's 2017 pain standards||- OCR 1557 requirements||- 50 recommendations|
|- Observation status||- HIPAA amendment requirements||- Countersign|
|- Incident reports||- Patient non-compliance||- MOON form|
|- Charting bloopers||- Document chain of command||- Code charting|
|- Admission assessments||- Admissibility of medical records||- Advance directives|
|- RAC & documentation||- Discharge instructions||- 2 Midnight rule|
|- Use of checklists||- Documenting for others||- Late entries|
|- Observation patients||- Electronic medical records||- Unnecessary readmissions|
|- Informed consent||- CMS & TJC verbal orders||And so much more!|
Anyone involved with or interested in compliance regulations and standards, including but not limited to: CEOs, CFOs, COOs, CMOs, CNOs, CE Directors, Quality Improvement Staff, Physicians, Nurses (all levels), OR Nurse Directors, ICU Nurse Directors, CCU Nurse Directors, Board Members, Clinic Managers, Outpatient Directors, Lab Directors, Compliance Officers, CMS Liaisons, TJC Liaisons, Registration Staff, Safety Officers and Staff, Pharmacy Staff, Ethics Committee Members, Consumer Advocates, Risk Managers, Legal Counsel, Behavioral Health Staff, Psychiatry Staff, Social Workers, Discharge Planners, Case Managers, Hospice Staff and Regulatory Affairs Staff.