Case Management

Case management Q&A

Case Management Weekly, June 27, 2012

Q. How do physician advisors benefit organizations?

A. Physician advisors use broad clinical experience to address the complexities of care and treatment the attending physician might be considering and to facilitate documentation of that detailed decision-making process.

Physician advisors add expertise to level of care determination processes when hospital staff members assigned to monitor level of care issues believe   that documentation does not support the physician’s order. When test results and/or documentation in the medical record do not answer questions, the physician advisor discusses the case with the attending physician to facilitate clinical documentation to support the appropriate level of care.

Editor’s note: This Q&A is adapted from Observation Services: A Guide to Compliant Level of Care Determinations published by HCPro, Inc.

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