Why is documentation especially significant in managed care? ...

[imowrer]

Why is documentation especially significant in managed care?
 
  a. The hospital needs to show that employees care for patients.
  b. Institutions are reimbursed only for patient care that is documented.
  c. Patients might bring lawsuits if care was not given.
  d. Documents may become part of a lawsuit.

Question 2

What does documentation of type of care, time of care, and signature of the person prove?
 
  a. The person who signed the documentation did all the work noted.
  b. No litigation can be brought against the person who signed.
  c. Interventions were implemented to meet the patient's needs.
  d. The patient's response to the intervention was positive.

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Answer to Question 1

ANS: B
Cost reimbursement rates by government plans (Medicare, Medicaid) are based on the prospective payment system of diagnosis-related groups (DRGs); a system that classifies patients by age, diagnosis, surgical procedure, and other information with hundreds of different categories to predict the use of hospital resources, including length of stay, resulting in a fixed payment amount.

Answer to Question 2

ANS: C
Documenting type of care, time of care, and signature of the person results in recording the interventions that are implemented to meet the patient's needs. Many charting entries include doctor's visits, presence of family, or interventions by other departments. Patient response to some interventions is not always positive.

[imowrer]

Thanks for the timely response, appreciate it

[kishoreddi]

TYSM