Julie W. Allison PA Hollywood, Florida, United States
Session Description: 1. Understanding the difference between Insurance Guidelines and State/Federal/Accreditation and Medical Necessity 2. The basic elements of a medical record a. Timing b. Documentation standards c. Provider service records d. Third party information e. Clinical information documentation standards f. Medical information documentation standards g. Financial and legal information documentation standards 3. What to do when an insurance medical records request is received 4. What to do in the event you receive a medical records request from a government agency regarding a criminal or civil investigation 5. Q&A
Learning Objectives:
After this activity participants should be able to
How to prepare and audit medical records to avoid insurance overpayment requests and audits.
How to document for medical necessity v. standard of care.
How to address situations that may arise that require the disclosure of medical records to third-parties and how to avoid liability criminal or civil liability.