BHI services are not even a year old yet so there is not a lot of advice out there! Our Medical Group is in the process of developing a workflow for this new CMS benefit and I have a question regarding documentation. One of the service components is "Regular case load review with psychiatric consultant – The primary care team regularly (at least weekly) reviews the beneficiary’s treatment plan and status with the psychiatric consultant and maintains or adjusts treatment, including referral to behavioral health specialty care as needed"
We are debating whether or not a notation regarding case review needs to be documented in each and every patient chart receiving BHI services each and every week. If the patient hasn't been seen that week or if there are no changes made to the treatment plan - must a statement be entered into the chart? The weekly case review is not the issue and will be performed, and a statement will be entered for all patients who have changes in the treatment plan.
Thank you to anyone that can help clarify!
Post here your questions regarding auditing ,coding, documentation, and compliance. Also, join in on the conversation- help your fellow auditors and compliance professionals in the industry.
1 post • Page 1 of 1