So now you have taken the Clinical Documentation Workshop and the big question is, how do I figure out all the changes that need to be implemented?
No worries! After the workshop, I take on the role of determining the deficiencies that lie in your facility and facilitate the changes that need to occur. I make recommendations for improving group notes, medical/nursing documentation, case management notes, and the list goes on. I provide training to UR staff on how to scrub the chart for information as well as how to communicate information needs to the insurance company.
ARE YOU TOO BUSY TO FIGHT WITH THE INSURANCE COMPANY?