Meet / Exceed Medical Necessity / Eligibility Criteria

Herein lies the Big Downfall of 2010!

  1. Are you working closely / cooperatively with the Primary Care Physician?
  2. Do you have the objective Criteria #1, 2, 3 and 5 differentiated from the subjective Criterion #4? Is it documented clearly?
  3. Have you paid attention (and lots of respect) to Box #17 and Box #27 in the new IPC? (Think of them as your powerful medical eligibility arsenal!)
  4. Does your RN documentation track faithfully with PT? OT? SW? RD? Do their Flow Sheets track with their Progress Notes?
  5. Are you covering up uncertainty, lack of knowledge, lack of direction with more-is-more verbiage

 

Save time. Save money. Call Choice Professionals today. (323) 436-0233