C.7. If applicable, does each Complex Care Coordination note: indicate the critical or condition leading to the need for service; identify the other service providers involved in the ____ coordination service; and indicate the complex care service occurred within ____ five working days of another service? [822.5(m)] C.8. If applicable, does each Medication Administration and Observation note: identify the type and dosage of medication administered or dispensed; and ____ identify the condition of patient as observed to, and after, administration as appropriate to the ____ medication? [822.5(s)] Number of Applicable Questions Subtotal Case Records Subtotal I. PATIENT CASE RECORDS (Active) SCORE = yes From Scoring Patient Record Numbers #1 #2 #3 #4 #5 #6 #7 #8 #9 #10 = no Table C. DOCUMENTATION OF SERVICE (cont’d) ADDITIONAL SERVICES (cont’d) C.9. If applicable, does each Medication Management note document a face to face meeting with a prescribing professional identify that the service was provided for one of the following purposes: evaluation, monitoring, observation or dosage change to a patient’s medication; a comprehensive medication review of a new patient or any patient who requires a more extensive review; or ____ the induction of a patient to a new medication requiring a period of patient ____ observation? [822.5(u)]
C.7. If applicable, does each Complex Care Coordination note: indicate the critical or condition leading to the need for service; identify the other service providers involved in the coordination service; and indicate the complex care service occurred within five working days of another service? [822.5(m)] ____ ____ C.8. If applicable, does each Medication Administration and Observation note: identify the type and dosage of medication administered or dispensed; and identify the condition of patient as observed to, and after, administration as appropriate to the medication? [822.5(s)] ____ ____ Number of Applicable Questions Subtotal Case Records Subtotal I. PATIENT CASE RECORDS (Active) SCORE Patient Record Numbers #1 #2 #3 #4 #5 #6 #7 #8 #9 #10 = yes = no From Scoring Table C. DOCUMENTATION OF SERVICE (cont’d) ____ ____ ADDITIONAL SERVICES (cont’d) C.9. If applicable, does each Medication Management note document a face to face meeting with a prescribing professional identify that the service was provided for one of the following purposes: evaluation, monitoring, observation or dosage change to a patient’s medication; a comprehensive medication review of a new patient or any patient who requires a more extensive review; or the induction of a patient to a new medication requiring a period of patient observation? [822.5(u)]
DRAFT-Part-822-Outpatient-SRI-6-2-16.docx