Do Not Skip the Re-evaluation! We hear it all the time… “My doctor does not do re-evaluations because the insurance company doesn’t cover it!” Despite that statement’s error, whether something was paid for by a payer is not a good reason to avoid a necessary element of documentation. There are several types of re-evaluations. During…
Create “The End” to Every Story with Proper Patient Discharge
In the world of documenting an episode of care, the end of the episode is just as important as the beginning. As you have seen previously in this module, laying out a sound initial visit note sets the stage for compliant documentation through the entire episode, leading into the progress exams, and eventually to the…
Established Patient Evaluation: Why, When, What and How?
We hear it all the time…” Why would I do a periodic re-eval? The insurance company doesn’t cover it!” Notwithstanding the error of that statement, whether or not something was paid by a payer is not a good reason to avoid a necessary element of documentation. There are several types of re-evaluations. During an active…