Solutions
Your documentation is your testimony: Understanding the
importance of documentation in rehabilitation
People who choose a life of caring — and the organizations and communities they serve — deserve a special kind of support.
During the COVID-19 public health emergency, many things have changed including the pausing of surveys and audits in many post-acute settings of care. Recently, the Centers for Medicare and Medicaid Services (CMS) and other federal agencies have authorized inpatient rehabilitation audits to resume. As these audits resume, our teams must reiterate the importance of documentation.
Providers may be able to appeal denials from CMS contractors and other federal agencies. However, providers do not have the opportunity to verbally defend the delivery of care until the third level of the appeal process. Instead, from the initial review of the record through the second level of the appeal process, the documentation is the only “testimony” of the delivery of care considered by CMS.
Download the tip sheet to review documentation best practices, including how to:
Recorded Oct 23, 2018
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Jane Snecinski brings a wealth of hands-on hospital administration and management experience in all levels of post-acute care. She is the president of Post Acute Advisors, a niche consulting firm located in Atlanta, Georgia. Post Acute Advisors has clients nation-wide and specializes in the needs of post-acute providers, including compliance, medical necessity, regulatory medical record review, appeal assistance, operational assessment, and accreditation assistance. Jane is a frequent presenter at national and state healthcare conferences, including AMRPA, the Georgia and Alabama Hospital Associates, and the Health Care Compliance Association.
Al Fiandaca has been WellSky Scheduling's solution manager for over 9 years. He is one of the leading experts in the role of patient scheduling. His expertise has led to many proprietary innovations that have helped clients reduce no-shows, enhance patient adherence to the prescribed plan of care, increase revenue, improve the patient experience, and increase provider efficiency.
Jennifer VanWinkle has over 19 years of healthcare experience, including managing 14 rehabilitation facilities across Missouri, Illinois, and Arkansas. As a senior solutions analyst, Jennifer leverages her clinical and IT Management experience to effectively assist organizations, clinicians, and patients. Jennifer is responsible for analyzing business needs and translating those needs into solution requirements and designs. She also plays a critical role in facilitating focus group interactions.
WellSky is a technology company advancing human wellness worldwide. Our software and professional services address the continuum of health and social care — helping businesses, organizations, and communities solve tough challenges, improve collaboration for growth, and achieve better outcomes through predictive insights. People who choose a life of caring — and the organizations and communities they serve — deserve a special kind of support. So we help them to care smarter. Liberating them to focus on the people they serve. Providing solutions that make work flow, integrate insights, and update effortlessly. So they're able to anticipate — and exponentially increase — the impact of care. Informed by more than 30 years of providing software and expertise, our purpose is to empower care heroes with technology for good, so that together, we can realize care’s potential and maintain a healthy, flourishing world.
People who choose a life of caring — and the organizations and communities they serve — deserve a special kind of support. So we help them to care smarter. Liberating them to focus on the people they serve. Providing solutions that make work flow, integrate insights, and update effortlessly. So they're able to anticipate — and exponentially increase — the impact of care.
People who choose a life of caring — and the organizations and communities they serve — deserve a special kind of support. So we help them to care smarter. Liberating them to focus on the people they serve. Providing solutions that make work flow, integrate insights, and update effortlessly. So they're able to anticipate — and exponentially increase — the impact of care.
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