{"id":6315,"date":"2024-01-08T11:03:58","date_gmt":"2024-01-08T11:03:58","guid":{"rendered":"https:\/\/designingmedia.com\/medwell\/?post_type=case_study&#038;p=6315"},"modified":"2024-07-21T19:32:54","modified_gmt":"2024-07-21T19:32:54","slug":"documenting-patient","status":"publish","type":"case_study","link":"https:\/\/mariettapainclinic.com\/?case_study=documenting-patient","title":{"rendered":"Documenting Patient"},"content":{"rendered":"<p>Properly\u00a0documenting patient\u2019s medical records has always been important,\u00a0 reimbursement to the quality of the medical record.\u201cMedical reimbursement is reflective of what you document, not just what you do,\u201d\u00a0 We can take care of a patient with a wrist fracture, pneumonia, or a myocardial infarction, but if there is no documentation, there is no reimbursement.\u201dFor that reason and more, we encourages providers to \u201cput thoughts to paper\u201d and put good documentation practices into place.<\/p>\n<p>Follow along with four reasons why it\u2019s vital to properly document patients\u2019 medical records.<\/p>\n<p><strong>1. Communicates with other health care personnel<\/strong><\/p>\n<p><strong>2. Reduces risk management exposure<\/strong><\/p>\n<p><strong>3. Records Hospital Quality Indicators and Measures<\/strong><\/p>\n<p><strong>4. Ensures appropriate reimbursement<\/strong><\/p>\n<p>A well-documented medical record can facilitate effective\u00a0revenue cycle\u00a0processes, expedite payment, reduce any \u201chassles\u201d associated with claims processing, and ensure appropriate reimbursement.Ninety-five percent of ensuring appropriate reimbursement is just good documentation practices that most our clinicians know.The other five percent consists of learning the rules provided by the federal government and other organizations that we need to know from a documentation compliance standpoint so that we are reimbursed correctly.<\/p>\n<p>Other reasons why proper medical record documentation is important include:<\/p>\n<ul>\n<li>Tells the patient\u2019s \u201cstory,\u201d the presenting problem and the treatment received<\/li>\n<li>Helps to plan and evaluate a patient\u2019s treatment<\/li>\n<li>Creates a permanent record for the patient\u2019s future care<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>04<\/p>\n","protected":false},"featured_media":7869,"template":"","meta":[],"class_list":["post-6315","case_study","type-case_study","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/mariettapainclinic.com\/index.php?rest_route=\/wp\/v2\/case_study\/6315","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mariettapainclinic.com\/index.php?rest_route=\/wp\/v2\/case_study"}],"about":[{"href":"https:\/\/mariettapainclinic.com\/index.php?rest_route=\/wp\/v2\/types\/case_study"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/mariettapainclinic.com\/index.php?rest_route=\/wp\/v2\/media\/7869"}],"wp:attachment":[{"href":"https:\/\/mariettapainclinic.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=6315"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}