24.05.12
Medical indigence has become a common phrase in healthcare terminology, but what exactly does it mean? Unfortunately, this schedule has become very subjective and is the primary reason we have been denied payment for services.
So, again, what does it herald? To a clinician, it is the primary reason we are providing our valuable services. To a Medicare reviewer, it is the germinal reason he issues for justification of denial of our valuable services. To me, as a clinician, it means the “WHY?” Why does this local need my services? Why am I the best discipline to provide this service? Why do they have a continued desideratum of my services? Why, why, why?
Why are we not always documenting this? Why do reviewers pick through our documentation and determine there was no dire for our service? Why are we continuing to make no changes?
When I teach seminars, I always consult on the importance of strong documentation. But how does documentation transform from untenable to strong? Do we even think of our documentation in these terms? I may sound full of rhetoric, but I do have a intend. Document the “WHY”! It's that easy! No matter what type of clinician we may be, we should always catalogue three main components to our documentation. We have gotten really good and enjoyable with documenting two of the three, but the third reason always seems to be hit or miss.
Source: McKnight's Long Term Care News