Health Information Management

News: Effective documentation may help defend decubitus ulcer malpractice suits

CDI Strategies, March 19, 2015

Want to receive articles like this one in your inbox? Subscribe to CDI Strategies!

Effective documentation of the condition and the patients’ co-morbidities may help lawyers successfully defend physicians in litigation regarding decubitus ulcer cases, according to an article in MDNews.

“Obtaining appropriate consultations, laboratory data and imaging can assist the defense of the physician and increase the likelihood of a successful outcome of the litigation,” the article states. “Proper evaluation and documentation of all decubitus ulcers by the physician assists in demonstrating that he or she was involved in the development and management of the plan of care. A failure of a physician to accurately document the presence of all of the patient’s decubitus ulcers is often viewed poorly by a lay jury. Inconsistencies with the nursing notes are also problematic. Additionally, documentation as to the etiology of the wound can assist in the defense.”

Want to receive articles like this one in your inbox? Subscribe to CDI Strategies!

    Briefings on APCs
  • Briefings on APCs

    Worried about the complexities of the new rules under OPPS and APCs? Briefings on APCs helps you understand the new rules...

  • HIM Briefings

    Guiding Health Information Management professionals through the continuously changing field of medical records and toward a...

  • Briefings on Coding Compliance Strategies

    Submitting improper Medicare documentation can lead to denial of fees, payback, fines, and increased diligence from payers...

  • Briefings on HIPAA

    How can you minimize the impact of HIPAA? Subscribe to Briefings on HIPAA, your health information management resource for...

  • APCs Insider

    This HTML-based e-mail newsletter provides weekly tips and advice on the new ambulatory payment classifications regulations...

Most Popular