Nurses and ancillary clinicians can help you in the battle for better documentation
Healthcare Auditing Weekly, March 30, 2004
If you demonstrate the value of auditing to nurses and ancillary staff, you can enlist their help to improve documentation across the board. Nurses and ancillary staff view and add clinical documentation to the patient's record on a daily basis; take advantage of this, and have them ask the physician to clarify documentation. If the clinicians understand the importance and impact of the audit results, they will be better equipped to help you make improvements.
For more information on diversifying your audits, order the book "Coding Compliance: A Practical Guide to the Audit Process." This book provides step-by-step guidance on how to conduct an audit, with dozens of sample forms, reports, and tools to simplify your audits, and advice on how to follow up on the results of your audits, such as by educating staff and returning money for overpayments.
Other information in the book includes: education on the need for audits; how to carry them out; follow-up activities; attorney-client privilege (how to obtain it, and when it's appropriate to seek it), and explanations on the difference between monitoring and auditing. The book also includes explanations on the interface between these two functions. Click here to save 10% by ordering online.
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