Why Nursing Documentation is Vital for Medicare Reimbursement
In an acute care facility, only the physician’s documentation is considered when applying for Medicare reimbursement. Why isn’t nursing documentation considered? What are some examples of where nursing documentation can be supportive of the physician's documentation? How do you see documentation as being the key to the reimbursement process? Defend your stance on the accuracy of records and how it is used as the reimbursement of different carriers including (but not limited to) Medicare.
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Why nursing documentation is vital for Medicare reimbursement
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Why nursing documentation is vital for Medicare reimbursement
Only the doctor's notes are considered when requesting payment from Medicare at a hospital. As a result of its secondary, rather than principal, status, nursing paperwork is rarely given due consideration. In some ways, nursing notes can supplement what the doctor has written. Examples of extra data gleaned from nursing notes include vital signs, medication administration, and nursing actions (Capriotti, 2019). To better comprehend the patient's state, this data can be used to supplement the doctor's documentation.
You must keep records of the patient's diagnosis and therapy to receive reimbursement. Accurate paperwork guarantees that patients receive adequate treatment and that medical professionals get paid for their efforts. Incomplete or incorrect paperwork can cause complications with getting insurance pay, rejecting claims, or even facing legal and financial consequences (Strategies, 2020). Inaccurate records, for instance, can lead to accusations of deception or abuse, resulting in reprimands, penalties, and even license revocation.
Therefore, it is essential to check documents for accuracy, mainly when dealing with multiple insurance companies, like Medicare, during reimbursement. For healthcare practitioners to be reimbursed for their services, their records must be comprehensive, correct, and submitted on time. Medicare also has stringent p...