If you're working at nursing homes or other non-office locations, you probably want to know how to:
Generate better-detailed charts that firmly support your billing.
Protect yourself from audits by Medicare, and from claims of fraud and abuse.
Reduce your time spent on documentation.
Minimize your cost of documentation.
Feel secure about compliance with the latest documentation requirements.
Be recognized for all the services you provide and actually get paid for them.
This form is here to help. It has everything you need to effectively document and bill nursing home, hospital and home visits.
Features:Two-part NCR carbonless duplicate exam form. No need to make photocopies of your notes or charts. (You should alwayskeep a copy of all notes and charts for your records. This form makes that easy.) An exam that follows the latest published guidelines from Medicare HCFA/AMA for medical documentation.An Exam that guides you, the doctor, to supply the required information in the format Medicare expects.Detailed orders to nursing staff that you customize with minimal writing. A Podiatric Superbill / Fee / Routing slip with appropriate codes and modifiers for billing Medicare for home services.By minimizing the steps involved in processing, filing and billing, the form facilitates same-day completion of chart documentation and billing.Eliminates the high cost, extra time and risk associated with handwritten, dictated or cookie-cutter computer generated notes.
These highly efficient forms allow podiatrists to complete their exam and treatment plan documentation, plus do their billing before leaving the nursing / hospital facility.
With the POD-4030 it’s likely that you’ll never again leave out any of the information that's required to pass an audit.
Complete Documentation in Four Easy Steps
Using the POD-4030 forms in the nursing home setting, you can entirely complete your documentation and billing at the nursing station immediately after your patient encounters. Here’s the sequence:
1. Complete the exam documentation, sign and date the exam and then pull the forms apart, removing the copies marked ORIGINAL PATIENT CHART. These will be placed in the patients’ facility charts.
2. Once the Original Patient Chart is separated from the rest of the form the DOCTOR’S COPY of the Original Patient Chart and the routing slip are exposed. Note your diagnoses, E&M(s), and/or the procedures you performed on the routing slip,.
3. You or your assistants then collect and record any of the patient data necessary for billing or updating your office records.
4. Back at the office turn the Doctor’s Copy of the exam and the routing slip over to the staff for billing and filing in the parallel office chart you keep for each patient.
For large and small providers alike, the POD-4030 nursing home forms have proven to be the most time-efficient and cost effective means to create and maintain Medicare-acceptable documentation. The MDS data, clarity and consistency of the form make it (and the doctors who use them) the preferred choice of nursing facilities across the country. (See the sidebar to the right, above.) Most importantly, they afford doctors the peace of mind of knowing they are prepared for the inevitable audits and close scrutiny that comes with providing nursing home care.
The DocuForms Nursing Home report has a unique structure. It takes a few seconds to understand, but its convenience will save you a great deal of time over the years.1. There are five layers (pages) in the form, attached by tabs at the top and the bottom.2. The front of the top layer (page 1) and the back of the bottom layer (page 5) are the two pages of the original exam form. These are the layers on which you record the exam.3. Both of these layers create a carbonless copy on the sheet directly below it. (Page 2 contains the copy of page 1, and page 4 contains the copy of page 5.)4. The middle layer (page 3) contains a Routing Slip.The exam form pages are easy to fill out during the exam (or right after it). The originals, (pages 1 & 5) stay at the nursing facility (to be placed in the patient’s chart), while the duplicates (pages 2 & 4) are for the doctor’s records, as is the Routing Slip.