The trusted source for
healthcare information and
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 review required fields in electronic medical records. This live training will also 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. She will help hospitals use proper documentation to prevent unnecessary readmissions and transition to electronic medical records.
|- RAC and documentation||- Discharge instructions||- Two-Midnight rule|
|- Observation status||- HIPAA amendment requirements||- Countersign|
|- Use of checklists||- Documenting for others||- Late entries|
|- Charting bloopers||- Document chain of command||- Code charting|
|- TJC's 2018 final pain standards||- OCR 1557 requirements||- 50 recommendations|
|- Admission assessments||- Admissibility of medical records||- Advance directives|
|- Observation patients||- Electronic medical records||- Unnecessary readmissions|
|- Incident reports||- Patient non-compliance||- MOON form|
|- Informed consent||- CMS & TJC verbal orders||And so much more!|
Anyone involved with documentation, including but not limited to: Nurses (all levels), Nurse Educators, Documentation Specialists, Health Information Management Directors and Staff, Chief Nursing Officers, Nursing Supervisors, Chief Operating Officers, Clinical Directors, Consumer Advocates, Risk Managers, and anyone involved in the documentation process.