Initial Assessments
Clinicians submit their initial evaluations within xx hours.
What is 48 hours?
This visit note type is used for discharges.
What is the Follow-up Visit Note?
A patient has no new medications in the last 60 days. Clinicians use this medication interaction statement.
What is, "No medication changes in the last 60 days?"
The Comprehensive Patient Assessment (CPA) must be completed in this window.
When is the 5-day window at the end of the recertification period?
Who is all clinicians (first, second, or third), NOT a narrative initial eval note?
In addition to completing the discharge note, this clinical document must also be completed.
What is the discharge summary? (Found under clinical documents)
Clinicians ask this question every visit about medication interactions.
What is changes in medication?
This clinician is responsible for coordinating the completion of the CPA.
Who is the case manager? But also, everyone should be taking responsibility!
Clinicians justify need of services by doing one of these things.
What are using age anchoring tools such as a standardized assessment or checklist OR answering relevant questions in the Growth & Development sections.
This must be completed in the discharge visit note.
What is the comprehensive patient assessment?
When a patient increases or decreases a dosage of medication, clinicians must do this.
What is update the medication profile and document medication interactions at POC.
This communication note type is used to document that someone has completed the CPA.
What is a miscellaneous type comm note?
If an initial evaluation does not get completed at the scheduled time, a clinician must do this. (Two answers.)
What is enter a communication note and complete the Evaluation Change Request Form?
Clinicians complete discharge note and summary within how many hours of discharge?
What is 48 hours?
Clinicians will document Risk for Hospitalization when a child does this.
What is take more than 5 medications?
These visit note types count for the CPA.
What are the FUVNs, HHPOCs, Initial Evals, and Discharge FUVNs?
When submitting the certification POC, clinicians must copy and paste this into the Goals-Additional Note box.
What is the assessment portion of the narrative?
This communication note type should be used when planning a discharge.
What is a triage note?
What is the POC for the following recertification period?
A CPA was missed for three weeks after the end of the 5-day window. The clinical director (Jason) must do this to all the narrative notes that were completed before the CPA.
What is reopen all of the notes?