Therapy documentation should tell a story.
Amid all the focus on new rules for nursing homes, we can't forget the old ones and the need to audit, train and document.
Sessions at the LeadingAge Institute covered the need to have documentation and delegation to reduce nursing liability, and another reflected an in-house counsel's perspective on hot legal topics.
Document, document, document! Those words echo through the halls in a myriad of places − from the firing of an employee for cause, to substantiating or absolving an accusation of abuse or wrongful act.
Briggs Healthcare® has launched documentation API for providers.
Documentation the biggest challenge to providers, survey shows ... Middle-age hip replacements nearly doublefrom 2002-2011 ... Even LTC insurers think product is too expensive ... Exercise, but not Vitamin D, cuts injuries from falls
A nurse has been indicted for allegedly administering morphine to a nursing home resident by mistake and covering up her error while the resident experienced a health emergency, New York Attorney General Eric Schneiderman announced Thursday.
Senators ask for provider input on healthcare data availability ... "Frailty index" can help predict post-surgery SNF admission ... Hospice association sues CMS over documentation rule ... Complex nursing home embezzlement case can go to trial
In nursing home lawsuits, plaintiffs are often unhappy family members of residents who have experienced falls, pressure wounds, unexplained injuries or death. In our practice defending long-term care facilities, we have identified some relatively simple and straightforward actions that nursing homes can take to avoid litigation.
Is that how everyone is feeling about the ICD-10 delays? Well, that's how I'm feeling. We almost got within the six-month window for implementation. Just when we were all geared up and ready to go, the government pushes the deadlines out again for one more year.
What is ICD-10? What does this mean for nurses?
How do you define tolerance? Is tolerance measurable? Is tolerance too subjective? What about activity tolerance? We love to document how patients are improving activity tolerance, but many times that's all we state in our documentation. So what have we said? Very little.
Skilled nursing facilities should not claim that therapy was to maintain a patient's condition if documentation reflected only an improvement goal.
Millions of dollars have been paid by nursing homes who unsuccessfully defended themselves against incomplete or absent documentation. There are not as many legal guidelines regarding medical records maintenance as you might think; however, there are essential legal aspects of charting to keep in mind.
An optometrist who served Georgia nursing homes faces a 33-month prison sentence for defrauding Medicare.
What's the point of all of our treatment interventions and plans of care if we can't relate to our patients? If you can put a face and personality behind your justification for therapy services, you'll be way ahead of the game.
Nursing staff can turn residents less often if high-density foam mattresses and attentive documentation are being used for pressure ulcer prevention, research has found.
I'm an administrator who's read all of this stuff about overuse of antipsychotics on long-term care residents. I like and trust my director of nursing, medical director and clinical staff — to a degree, that is — but what can I do to REALLY know that we're not overusing this stuff, and would not be liable for some sort of adverse regulatory or court findings?
Nursing staff can turn residents less often if high-density foam mattresses and attentive documentation are being used for pressure ulcer prevention, according to a recent study.
Can anyone guess what the title to this blog is stating? In the current culture of text messaging and abbreviations for everything, it can be a danger zone for medical documentation. Unfortunately, I have not made up this one.
I am a charge nurse on a skilled unit. We do not take photos of wounds, but I would really like to take pictures. As they say a picture is worth a 1,000 words. Do you agree?
How much do we have to document risk and implemented interventions to prevent pressure ulcer development?
An industry expert served up straightforward advice during a recent McKnight's Super Tuesday webinar: Accurately claim what you do, and do what you claim.
Long-term care administrators and nurses are under pressure to train staff to assess and document skin conditions to keep patients out of the hospital.
Is it time for a diet? Not a food diet, but a documentation diet. I've written previous blogs about documentation quick tips, top 10 reasons for denials, and so on. But, how many of you are guilty of over-documentation? Is that even possible? Well, yes, it is.
As the scrutiny continues to increase on rehabilitation documentation, finding ways to document objectively has become a major focus for just about everyone involved.
Providers recoiling from recent uptick in therapy claim audits should expect even more scrutiny in the future as regulators look to increase surveillance.
How do you justify the reason for rehab, length of stay and intensity of treatment? You turn to the 3 C's.
Well, it wasn't easy to get there, but we have a new CIA director sworn in. With John Brennan taking over the spy agency, now's a good time to think back to what happened to his predecessor, General David Petraeus.
Strong leadership is a vital ingredient to any successful organizational or system change. Increased consumer demands, strategic positioning and partnerships as well as an increased push towards community-based care are forcing post-acute leaders to serve as the catalyst for change.