Are You Documenting Prescription Drug Management Properly?

In clinical settings, proper documentation of prescription drug management is essential for ensuring patient safety, compliance with regulatory standards, and accurate billing. Additionally, understanding the differences between prescription and over-the-counter (OTC) medications is crucial for effective medication management. Here we outline the documentation requirements for prescription drug management and highlight the key differences between prescription and OTC medications. Documentation Requirements for Prescription Drug Management According to the AMA, appropriate documentation of prescription drug management involves…

Navigating UPIC Audits: Strategies for Successful Appeals

Our latest whitepaper provides essential insights on how Unified Program Integrity Contractors (UPICs) operate and the potential risks they pose to healthcare providers. In this whitepaper, you’ll learn: Don’t let a UPIC audit catch you off guard—download the whitepaper today and arm your client with the knowledge to navigate these complex audits. LW Consulting, Inc. (LWCI) offers a comprehensive range of services that can assist your organization in maintaining compliance, identifying trends, providing education and…

Navigating the Latest CMS Surveyor Guidance Updates: Mental Health Disorders

New Surveyor Guidance is in effect and indicates that mental health disorders in nursing home facilities need to be diagnosed by a medical practitioner. Evidence-based criteria and professional standards, such as the current version of the Diagnostic and Statistical Manual of Mental Disorders (DSM), must be used and supported by documentation in the resident’s medical record. Diagnoses such as Schizophrenia and schizoaffective disorder require supporting documentation such as a DSM assessment, like all other mental…