The goal of wound care documentation is to provide the highest possible degree of clinical specificity to ensure accurate interventions and diagnosis as well as to adequately demonstrate medical necessity for the services rendered and substantiate the billed services. Let’s review components of skin and wound documentation that may comprise your medical record. Wound Documentation:…
Clinical decision making for wound management is dependent on the types of patients evaluated in your care settings, the skill sets of the clinicians making the decisions for those patients, the products available to manage the patient, and the documentation platform used to capture the work performed. Essentially, every step along the patient engagement continuum…
I was first introduced to Aretha Franklin while listening to the motion picture soundtrack for the 1980s hit, The Big Chill. That led me to explore more of her music and it was the powerful vocals in her signature song, Respect, that really seduced me. Originally, a minor hit by Otis Reading, Aretha Franklin’s new…
In continuing our efforts to understand the most important aspects of the Merit-based Incentive Payment System (MIPS), this month’s installment of Practice Points reviews the intent and reporting process for “Information Blocking.” Guidance for this column was found within the QPP Fact Sheet entitled “The Merit-based Incentive Payment System (MIPS) Advancing Care Information Prevention of Information Blocking…
Have you heard the news? The proposed rules for 2019 are out and CMS is making some significant recommendations! They are recommending to eliminate Functional Limitation Reporting and to add new modifiers to distinguish services provided by Physical Therapy Assistants and Occupational Therapy Assistants. According to the 2018 Fact Sheet item from the Centers for…
In case you missed it, the Centers for Medicare & Medicaid Services1 updated the Merit-based Incentive Payment System (MIPS) Fact Sheets mid-May 2018. Let’s take a look at the criteria for each MIPS category. Remember, documentation details determine your dollars. MIPS Participation Status Includes eligible clinicians or groups who bill more than $90,000 in Medicare Part…
Browsing articles in medical fields can make it easy to forget about the human behind it. Luckily, WOUNDS, official journal of the Association for the Advancement of Wound Care (AAWC), decided to greenlight an editorial thinkpiece in the June 2018 edition that showcases humanity at it’s finest. Thanks to WOUNDS journal for contributing all spectrum of content, including stuff that can…
A Once Reluctant Physical Therapy Patient Found an Answer Outside of Pain Medication In December of 2017, we went to Eclipse Physical Therapy and Sports Performance to hear the story of Dean Waxler. Dean was the victim of a motorcycle accident who looked to physical therapy instead of pain medication to recover from his injuries….
Exploring the cloud’s strategic benefits Healthcare organizations traditionally are cautious in their approach to new technologies. With good reason, of course. Healthcare IT supports a mission that leaves no room for error. And as cloud computing has emerged in recent years as a cost-effective alternative to expensive data warehouses, healthcare was not an early adopter….