The safety and quality of care provided in Australia\u2019s health system is of utmost importance to all patients, their families, and carers. A safe and high-quality health system provides the most appropriate and best-value care, while keeping patients safe from preventable harm in the delivery of care.<\/p>\n
Major advances are frequent in the arenas of diagnostic testing, therapeutics, and pharmaceuticals. Modern information transfer technology has made physicians\u2019 ability to access information about these advances easier and contributed to patients being more aware of changes in many aspects of health care. At the same time, physicians may be called on to limit utilization of health care resources to services that are judged to be \u201cmedically necessary.\u201d<\/p>\n
Yet both as a contribution to health care costs and as a key element in patient-doctor relationships, there is reason to believe that it deserves more attention. Furthermore, with an increasing emphasis on value and efficiency in health care delivery, quality time between physician and patient is an increasingly valuable resource. Physicians spend time in face-to-face contact with patients gathering information, and developing a relationship, doing administrative work related to visits, and maintaining their knowledge base. Importantly, time is always finite: no matter what demands a physician faces, there are only 24 hours in a day.<\/p>\n
In the current practice environment, physicians face mounting demands on their time. Increasing administrative requirements for health care delivery (e.g., service and authorization requests, utilization review processes) encroach on time spent with patients.<\/p>\n
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
Follow along with four reasons why it\u2019s vital to properly document patients\u2019 medical records.<\/p>\n
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
Other reasons why proper medical record documentation is important include:<\/p>\n
The safety and quality of care provided in Australia\u2019s health system is of utmost importance to all patients, their families, and carers. A safe and high-quality health system provides the most appropriate and best-value care, while keeping patients safe from preventable harm in the delivery of care. Major advances are frequent in the arenas of […]<\/p>\n","protected":false},"featured_media":0,"template":"","meta":[],"class_list":["post-7284","case_study","type-case_study","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/mariettapainclinic.com\/index.php?rest_route=\/wp\/v2\/case_study\/7284","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:attachment":[{"href":"https:\/\/mariettapainclinic.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=7284"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}