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Documentation of preventive health screenings is an essential
part of comprehensive quality care. In addition to keeping medical
records for patients? regular checkups, it is important to have a
record for those patients that are seen only when they come in for
acute care visits, and for those patients that you see at multiple
visits for management of chronic conditions.
Some practices use a separate form designed specifically for a
patient?s well-visit to capture physical evaluation and preventive
care assessments. This allows for accurate tracking of preventive
care screenings and routine health assessment documentation.
The following tips can help you maintain the necessary medical
record documentation:
- Remember to review preventive health and cancer screenings
with each patient on an annual basis.
- Prior to scheduled visits, review Clinical Alerts provided by
Independence via the NaviNet® web portal to identify and
address gaps in care.
- Remind female patients with HMO insurance about Direct
Access OB/GYNSM and mammography screenings.
For practices that use electronic medical records (EMR), finding
a program that contains specific screens to capture preventive
health care measures may be helpful in providing consistent,
quality care to your patients.
For more information on Clinical Alerts, review the Viewing
Clinical Alerts and Clinical Care Reports guide, located in
the NaviNet Transaction
Changes section of our Business
Transformation site.
Standards for maintaining appropriate medical records can
be found in the Provider Manual for Participating Professional
Providers (Provider Manual), available in the Current Publications
section of Independence NaviNet Plan Central. A paper copy
of the Provider Manual can be ordered by submitting an online
request or by calling the
Provider Supply Line at 1-800-858-4728.
NaviNet® is a registered trademark of
NaviNet, Inc., an independent company.
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