New Dictation style replies
fairman11
Description
Collection
Title:
New Dictation style replies
Creator:
fairman11
Date:
7/3/2013
Text:
I will likely tone down the venting portion, but I will always give an
expedited time estimate that we could do things vs. a CMS mandated (ie
red-tape) time frame for comparison. I will also continue to encourage
patients to contact representatives if they are unhappy with the difference
in the two time frames I give them.
I do not have a problem with documenting and specifically stating the
reason why our evaluation till final delivery times have been extended.
I'm happy to have the evaluators at the RAC level read the note, as well as
the ALJ if it gets that far.
It demonstrates that we are making a clear and undeniable attempt to meet
our patients' needs, and we could do it very efficiently if left to our own
expertise. I'll likely choose a few different words, but the message will
remain consistent. Someone needs something, we are trying to help, we
can't help just yet, and patients are at risk and care is compromised in
the mean time.
And just to be clear, we don't abandon people as I'm sure most of you do
not as well. Something will be done for this man in some form or another.
The responses are below....................
1.
Hi,
I agree with your principle, but your wording should be devoid of
characterizations. It might look and feel good now, but in a year, you
might regret venting. You might consider noting something in this
fashion.
Pt is in critical need for a new prosthesis(fill in your rationale), but
due to documentation requirements and likely delays we have experienced in
similar cases, I can not provide optimal services. I have reported this
to the patient and offered my assistance to the patient as he acquires a
proper Medicare approved evaluation from his doctor. I will do my best to
ameliorate the dysfunction of his current prosthesis, but since he does not
wish to sign a ABN to allow my to proceed, I must wait till the notes and
other documents support his claim.
How does that sound?
2.
Nicely written. I just hope you don't suffer consequences for abandoning
the patient. Very sad, all of this.
3.
Very nicely put my friend. I will start a similar narrative in my notes
also.
4.
Well done, I've adopted a similar style as well.
5.
Yes! I'm going to do this.
6.
Consider writing the note and immediately forwarding it to your
representative. You've already written the essential argument. We need to
show them just how this is affecting patient care and outcomes.
expedited time estimate that we could do things vs. a CMS mandated (ie
red-tape) time frame for comparison. I will also continue to encourage
patients to contact representatives if they are unhappy with the difference
in the two time frames I give them.
I do not have a problem with documenting and specifically stating the
reason why our evaluation till final delivery times have been extended.
I'm happy to have the evaluators at the RAC level read the note, as well as
the ALJ if it gets that far.
It demonstrates that we are making a clear and undeniable attempt to meet
our patients' needs, and we could do it very efficiently if left to our own
expertise. I'll likely choose a few different words, but the message will
remain consistent. Someone needs something, we are trying to help, we
can't help just yet, and patients are at risk and care is compromised in
the mean time.
And just to be clear, we don't abandon people as I'm sure most of you do
not as well. Something will be done for this man in some form or another.
The responses are below....................
1.
Hi,
I agree with your principle, but your wording should be devoid of
characterizations. It might look and feel good now, but in a year, you
might regret venting. You might consider noting something in this
fashion.
Pt is in critical need for a new prosthesis(fill in your rationale), but
due to documentation requirements and likely delays we have experienced in
similar cases, I can not provide optimal services. I have reported this
to the patient and offered my assistance to the patient as he acquires a
proper Medicare approved evaluation from his doctor. I will do my best to
ameliorate the dysfunction of his current prosthesis, but since he does not
wish to sign a ABN to allow my to proceed, I must wait till the notes and
other documents support his claim.
How does that sound?
2.
Nicely written. I just hope you don't suffer consequences for abandoning
the patient. Very sad, all of this.
3.
Very nicely put my friend. I will start a similar narrative in my notes
also.
4.
Well done, I've adopted a similar style as well.
5.
Yes! I'm going to do this.
6.
Consider writing the note and immediately forwarding it to your
representative. You've already written the essential argument. We need to
show them just how this is affecting patient care and outcomes.
Citation
fairman11, “New Dictation style replies,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/235392.
