Assignment: Hospital Reimbursement
Assignment: Hospital Reimbursement
A well-documented patient medical record facilitates appropriate reimbursement for healthcare providers and organizations. This result in effective revenue cycle processes, expedites payment, and minimizes any hassles related to claims processing.
Proper documentation of patients’ medical records is crucial, especially in the current healthcare landscape, where payers tie reimbursement to the quality of the medical record (Burks et al., 2022). Therefore, a well-documented SOAP note can facilitate swift reimbursement. SOAP notes offer written proof of what a clinician observed in a patient from patient history and physical exam. It also provides evidence to the payers of the primary diagnoses and differential diagnoses made by the provider and the interventions taken, like diagnostic tests, referrals, pharmacological treatments, and non-pharmacological therapies.
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Healthcare providers mostly use SOAP notes to communicate about a patient’s health status and ongoing medical interventions. They are an approach providers use to organize the patient information they need to share when working collaboratively or taking over a patient’s management (Aronson, 2019). Thus, SOAP notes should be clear, well-documented, and easy to follow so that the healthcare team and stakeholders, like payers, can find the information they need.
[elementor-template id="165244"]An appropriately documented SOAP note is essential because it helps the healthcare provider track patients’ scores and goals, which are sometimes crucial to getting reimbursed by insurance. Besides, SOAP notes are strong proof of the assessment findings and interventions provided in case a provider’s documentation or work comes under review by the payers. Occasionally SOAP notes can be brought into court for law proceedings. Therefore, it is crucial that the SOAP notes are accurately documented (Burks et al., 2022). The Plan section of the SOAP note is crucial for payers to identify the treatment interventions offered to a patient and determine the services that will be reimbursed.
References
Aronson, M. D. (2019). The purpose of the medical record: why Lawrence weed still matters. The American Journal of Medicine, 132(11), 1256-1257. https://doi.org/10.1016/j.amjmed.2019.03.051
Burks, K., Shields, J., Evans, J., Plumley, J., Gerlach, J., & Flesher, S. (2022). A systematic review of outpatient billing practices. SAGE open medicine, 10, 20503121221099021. https://doi.org/10.1177/20503121221099021
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