Creating Incidents in EZCAP
Effective Healthcare Documentation I
Definitions I
Effective Healthcare Documentation II
Definitions II
100

The category you select to create an Incident.

What is Customer Service?

100

Avoiding this in healthcare documentation is crucial to prevent errors and misinterpretation.

What is jargon?

(also accepted self-abbreviated terms)

100

All information documented should be directly related to the patient's care, diagnosis, treatment, and progress.

What is relevance? (Relevant)

100

Clear and complete case notes are vital for this to be effective.

What is communication?

100

A Social Security Number for a business.

What is a Federal Tax ID?

200

A form used to obtain all Non-Participating Providers information such as NPI, Federal Tax ID, and W-9 form.

What is a Provider Set-up Form?

200

This is central to patient care and safety, communication and collaboration, data analysis and quality improvement, as well as legal and financial aspects.

What is Healthcare documentation?

200

An authorization request that does not have sufficient clinical information provided to be able to conduct a medical necessity review.

What is LOI (Lack of Information)?

200

Focusing on the task at hand ensures this.

What is accuracy?

200

Thorough documentation enables the seamless transfer of patient care between healthcare providers and settings.

What is Continuity of Care?

300
This category will always be Provider.

What is Customer Category?

300

Personal Feelings, Abbreviations & Jargon, Delayed Documentation, Distractions

What are habits to avoid?

300

A Provider of medical care or services in which the Contractor has no Provider Agreement set-up.

What is a Non-Participating (Non-PAR) Provider?

300

Using standardized formats, terminology, and abbreviations that follow industry best practices and organizational guidelines.

What is Consistency in documentation?

(Consistent)

300

Proper documentation of medication orders, administration, and patient responses is crucial for medication safety.

What is Medication Management?

400

The number you provide the caller when creating an Incident in EZCAP.

What is a Reference #?

400

Including this in case notes can detract from a focus on the patient's well-being and needs.

What are Personal Feelings?

400

An Internal Revenue Service (IRS) form in which a taxpayer provides their correct taxpayer identification number (TIN) to an individual or entity.

What is a W-9 Form?

400

Eliminating distractions can enhance this.

What is efficiency?

400

Accurate documentation is essential for healthcare professionals to make informed clinical decisions.

What is Clinical Decision-Making?

500

If W-9 is not received within 48 hours, Shared Services Specialist should then route the case to this team.

What is CMA team (Action code 82)?

500

Maintaining this is a core principle of healthcare practice

What is Professionalism?

500

A Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers.

What is NPI (National Provider ID)?

500

The three C's in documentation

What are clear, concise, and consistent?

500

A form used to obtain all Non-Participating Providers information such as NPI, Federal Tax ID, and W-9 form.

What is a Provider Set-Up Form?