Do you want to learn how to improve your documentation skills?

Good concise documentation is the key to preventing claims of fraud and abuse. This program will help improve your documentation skills and discuss the importance of documentation to avoid allegations of malpractice, substandard care, and denial of reimbursement. You will also learn how to determine which fields should be present as hospitals move toward electronic medical records to capture the elements required by CMS and The Joint Commission. 

Sign up for this 90-minute webinar, nurse attorney Sue Dill Calloway will help identify issues that need to be documented in order to be reimbursed by CMS, how to avoid allegation of fraud and abuse, and improper documentation by the RACs (recovery audit contractors).  

Learning Objectives:

• Discuss two recommendations that would improve documentation to reduce the risk of liability.
• Explain what should be documented in the assessment of pain.
• Describe what CMS requires to be documented according to the Record of Care chapter.
• Explain the CMS requirement about orders that must be written even if hospitals use approved protocols that state otherwise.
• Discuss the CMS and The Joint Commission requirements regarding verbal orders that are given by both the nurse and the physician.
• Discuss what should be done in order to comply with the CMS visitation regulation.

Target Audience:

• Chief Executive Officer 
• Chief Operating Officer 
• Chief Nursing Officer
• Nurse Managers
• Nursing Supervisors
• Compliance Officer 
• Joint Commission Coordinator
• Quality Improvement Coordinator
• Clinic Directors
• Consumer Advocates
• Risk Managers
• Staff Nurses and anyone involved in the documentation process

Level: All levels 

Meet your Expert:

Sue Dill Calloway is a nurse attorney and medical-legal consultant. She has done many educational programs for nurses, physicians, and other health care providers. She has spoken internationally on patient safety, risk management, legal, regulatory, and CMS and Joint Commission issues. She has authored over a thousand articles and a hundred books including a book on the Compliance Guide to the Joint Commission, CMS Patient Rights Standards and a book on 2009 Joint Commission Leadership and many books on nursing law and nursing law and ethics.  

Her associate degree is from Central Ohio Technical College and Ohio State University. Her BA, BSN in Nursing, MSN in nursing (summa cum laude) and JD degree (law degree with honors) are from Capital University in Columbus, Ohio.

Accreditation Statement:

AHC Media is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

Credit Designation:

This activity has been approved for 1.5 nursing contact hours using a 60-minute contact hour.

Provider approved by the California Board of Registered Nursing, Provider # 14749, for 1.5 Contact Hours.

Sponsor:

The sponsor of this educational activity is AHC Media.

Recorded: Thursday, December 1, 2011