Examples of Assessments for Comparison Daily (A)assessment is a key element that is often missing from ROV documentation. The daily assessment is the provider’s opportunity to provide context to the findings of the visit. What is learned in the Subjective and the Objective portion of the visit is then interpreted and affirmed by the provider...
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When a patient is in active treatment, it can be difficult to properly document progress without repetition or using canned language in the software. Watch this brief, informative video on how to translate your clinical thoughts into brief Assessments for each visit. Doctors know how their patients are coming along and what they want to...
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The Doctor’s assessment is the element most frequently missing in routine visit chiropractic documentation. It’s common to use brief comments regarding a patient’s improvement, or lack thereof, but what’s necessary is to clarify the thought process behind the rationale for current and continued care. A well-documented assessment tells the story of the patient’s return...
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This Rapid Tutorial provides a high-level overview of the purpose and intention of this important part of a daily SOAP note. Assessment is not just a restating of the diagnosis. It’s where the doctor explains the patient’s progress or lack thereof. It provides the context for HOW the patient is doing, and WHY s/he may...
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Let’s get busy with a self-assessment! Click through this short survey to measure your current level of compliance with the required program. This is not meant to be anything more than a personal appraisal of your status. If you find you need help with bringing your practice into compliance, you’ve come to the right place....
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OIG Compliance Program Elements The Patient Protection and Affordable Care Act of 2010 (PPACA) made Office Compliance Programs mandatory for all physician practices as a condition of enrollment in Medicare, Medicaid, and/or CHIP. These compliance programs must address certain core elements.1 The core elements are derived from the Federal Sentencing Guidelines for an effective compliance...