with current law and HIPAA regulations needs to be strictly adhered to requiring training, education, and policy development at all levels. Actions: The above indicators will continue to be monitored. Regulatory and Compliance Standards in Documentation Ensuring Fiscal Responsibility in Documentation and Billing Practices Indicator 1Q2016 2Q2016 3Q2016 4Q2016 and Rationale for Selection Identification 100% 100% N/A N/A Data 65/65 51/51 Medical History, including chief complaint; HPI; past, social & 100% 100% N/A N/A family hx.; 65/65 51/51 ROS, and physical exam w/in 24 hr. conclusion and plan Summary of patient’s psychosocial 88% 61% as N/A N/A 57/65 31/51 appropriate to the patients * Psychiatric Evaluation in 99% 100% patient’s N/A N/A 64/65 51/51 record w/in 24 hr of
with current law and HIPAA regulations needs to be strictly adhered to requiring training, education, and policy development at all levels. Actions: The above indicators will continue to be monitored. Regulatory and Compliance Standards in Documentation Ensuring Fiscal Responsibility in Documentation and Billing Practices Indicator and Rationale for Selection 1Q2016 2Q2016 3Q2016 4Q2016 Identification Data N/A N/A 100% 65/65 100% 51/51 Medical History, including chief complaint; HPI; past, social & family hx.; ROS, and physical exam w/in 24 hr. conclusion and plan N/A N/A 100% 65/65 100% 51/51 Summary of patient’s psychosocial as appropriate to the patients * N/A N/A 88% 57/65 61% 31/51 Psychiatric Evaluation in patient’s record w/in 24 hr of N/A N/A 99% 64/65 100% 51/51
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