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Outpatient Therapy

Grow Your Rehab Therapy Practice Using Paid Ads and Search Engine Marketing

When done right, paid advertising and search engine marketing are amazing tools to reach new patients and grow your business. By applying several basic tactics, you can start using powerful digital advertising platforms like Google and Facebook to target specific audiences and help ensure a steady flow of business for your practice. Click to View […]

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Five Key Stressors Hospice Professionals Face, with Guidance for Support

Hospice professionals help others face death and loss, while juggling interdisciplinary communications, quality compliance regulations and ever-evolving technologies. You are continually there for families and their dear ones who are passing away. But what about you? Get the eBook In caregiving professions, it is easy to get swept up in the needs of others and forget […]

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Net Health’s CIO discusses diversity and how it can build a stronger organization

Diversity in the workplace is an on-going issue but it’s an issue with solutions. To build diversity, it takes forward-thinking initiatives, a reexamination of the hiring philosophy, and the support of the company’s decision-makers.  One such supporter of diversity in the workplace is Net Health’s CIO, Jason “JJ” James.  Recent social movements like Black Lives […]

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Tough Questions | Real Answers: Net Health’s Fireside Chat about Race

Net Health did something different recently. Nearly two hundred employees and their families gathered around their computer screens to take part in a landmark event in our company’s history – we called it a “Fireside Chat about Race”.  The purpose of this event was to have a truly open conversation about the controversial but relevant […]

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Industry News 2018 Checklist: Organizing Your Department for the New Year

2018 Checklist: Organizing Your Department for the New Year

January 1, 2018 by Cathy Hess , BSN, RN, CWCN, VP, Chief Clinical Officer for Wound Care

Launching into a new year brings opportunity to review the work plan created and implemented by you and your team. The underpinning for the work plan resides in the data collected within the medical record. The medical record serves as the instrument for demonstrating the clinician’s ability to plan, coordinate, and evaluate patient care. Proper documentation provides guidance for appropriate treatment decisions, evaluation of the healing process, support for reimbursement claims, and a defense for litigation.

Checklists can be created and used as written guides to help your team meet key steps in compliance. In wound care, clinical, operational, regulatory, and economic/financial rules help maintain compliance with standards, and checklists can provide an audit tool to ensure that requirements have been followed. Using a clinical checklist can help to better organize the clinician’s time. Consider the following clinical and operational checklist:

  • Utilize an interoperable, specialty wound care electronic health record and streamline strategic workflows.
  • Update patient-specific education.
  • Review and update the product formulary and technologies.
  • Know hospital accreditation standards and support within department and documentation workflows.
  • Manage the department through a comprehensive engine providing clinical, operational, financial, and marketing reports.
  • Implement Clinical Decision Support Alerts.
  • Participate in the Quality Payment Program.
  • Review and update signature requirements for your documentation process.
  • Review and update job descriptions.
  • Ensure staff credentials and skill sets are up to date.
  • Reevaluate the use of technology and supplies to ensure appropriate use for your patient population.
  • Ensure clinical provider understanding of surgical wound care services and documentation requirements.
  • Manage patient outliers and update plans of care.
  • Review and update payer matrix.
  • Map authorizations and verification of benefits, advance beneficiary notice, and copay processes.
  • Ensure the “reason for referral” is clearly documented, and follow the documentation process.
  • Understand the insurance verification and medical necessity by payer process.
  • Review the annual Office of Inspector General work plan.
  • Implement and review the wound care department’s charge description master, Current Procedural Terminology 4 (CPT*-4), and Healthcare Common Procedure Coding System Level II with modifiers (if appropriate).
  • Meet with select departments to review updates for preregistration, coding, billing, medical records, and denial management.
  • Implement interfaces to capture and send codified data, which decreases duplicative work and improves patient safety.

To read the full article in “Advances in Skin & Wound Care” by Cathy Thomas Hess, click here.

Read previous articles in “Advances in Skin & Wound Care” by Cathy Thomas Hess in the link.

Download a brochure and learn how Net Health 360 professional services programs conquer the most complex problems in specialized lines of work.


Cathy is Chief Clinical Officer for WoundExpert® and Vice President at Net Health, and in addition to being the MIPS Clinical Consultant for WoundExpert. She gained over 30 years of expertise in various acute care, long-term care, sub-acute care facilities, home-health agencies, and outpatient wound care department settings. Cathy is the author of Clinical Guide to Skin and Wound Care (also translated into Italian and Portuguese) – Eighth Edition published in September of 2018.

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Filed Under: Industry News, Wound Care

About the Author

Cathy Hess , BSN, RN, CWCN

VP, Chief Clinical Officer for Wound Care

Cathy oversees clinical and professional services for Net Health. Cathy gained over 25 years of expertise in various acute care, long-term care, sub-acute care facilities, home-health agencies, and outpatient wound care department settings. She is the author of The Clinical Wound Manager™ Manual Series, Clinical Guide to Skin and Wound Care – Seventh Edition (also translated into Italian and Portuguese).


See all posts by Cathy Hess , BSN, RN, CWCN

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