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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 check-ups, it is important to have a
record for patients who are seen only for acute
care visits or whom you see at multiple visits for management of chronic
conditions.
Some practices use a separate form designed specifically for yearly
well-visits 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 necessary medical record
documentation:
- Remember to review preventive health and cancer screenings with each
patient on an annual basis.
- Review Clinical Alerts* provided by IBC via the NaviNet® web
portal prior to scheduled visits to identify and address
gaps in care.
- Remind female patients covered under an HMO plan 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*, please review the Clinical
Alerts Overview, which is located in the Administrative
Tools & Resources section of IBC NaviNet Plan Central.
Standards for maintaining appropriate medical records can be found in the
Provider Manual for Participating
Professional Providers (Provider Manual), which is available on IBC
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.
*The Clinical Alert feature is currently disabled, but
access will be re-established in mid-December.
NaviNet? is a registered trademark of NaviNet,
Inc., an independent company.
]