Documentation Instructions - TriPoint Healthcare
Documentation Instructions - TriPoint Healthcare
Documentation Instructions - TriPoint Healthcare
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West Penn Allegheny<br />
4 Allegheny Center, Suite 603<br />
Pittsburgh, PA 15212<br />
Main Tel: 412-330-4211<br />
Main Fax: 412-330-4221<br />
<strong>Documentation</strong> <strong>Instructions</strong> – West Penn Allegheny<br />
Therapy Supervisor: Barb Nicholson (412-330-4238)<br />
Therapy Staffing Coordinators: Chris Shea - Gold Team (412-330-4253)<br />
Phyllis Hunter - Green Team (412-330-4206)<br />
Managed Care Authorizations: Denise or Joann<br />
End of Week Date: Saturday<br />
Start of Care<br />
1. Nursing will complete all start of care/admissions<br />
Therapy Evaluation<br />
1. Call Staffing Coordinator to verify patient was opened<br />
2. Evaluation must be conducted within 48 hours of admission date or receipt of referral<br />
3. Complete evaluation/POT form<br />
4. Fax Evaluation/POT on same day as treatment to 412-330-4221<br />
5. If managed care case, complete Managed Care Authorization and submit by fax to 412-330-4221<br />
Therapy Standard Visit<br />
1. Complete discipline specific progress note<br />
2. Fax progress note on same day as treatment to 412-330-4221<br />
Post Hospitalization Restart of Care (RSOC)<br />
1. Call Staffing Coordinator to verify patient was opened<br />
2. Nursing will complete all RSOC OASIS forms<br />
3. Evaluation must be conducted within 48 hours of admission date or receipt of referral<br />
4. Complete evaluation/POT form<br />
5. Fax evaluation/POT on same day as treatment to 412-330-4221<br />
6. If managed care case, complete Managed Care Authorization and submit by fax to 412-330-4221<br />
Recertification (from days 56-60 of original period)<br />
1. On day 56 of case, if more therapy is required after day 60, contact nurse case manager to discuss<br />
recertification<br />
2. Complete Re-cert OASIS and Medication Sheet if no nursing remaining on case<br />
3. Complete evaluation/POT form<br />
4. Case conference on communication note<br />
5. Fax all documentation on same day as treatment to 412-330-4221<br />
Discharge - Other Disciplines Still Active<br />
1. Complete NOMNC form one visit prior to discharge if appropriate<br />
2. Complete HHABN form if discharging patient prior to original plan of treatment<br />
3. Complete discipline specific progress note<br />
4. Complete interdisciplinary communication form as applicable<br />
Current as of June 4, 2009 Page 1 of 1
5. Complete discharge summary<br />
6. Complete MD order<br />
7. Fax all documentation on same day as treatment to 412-330-4221<br />
Discharge - No Other Disciplines Still Active<br />
1. Complete NOMNC form one visit prior to discharge if appropriate<br />
2. Complete HHABN form if discharging patient prior to original plan of treatment<br />
3. Complete discharge OASIS<br />
4. Complete discipline specific progress note<br />
5. Complete discharge summary<br />
6. Complete MD order<br />
7. Fax all documentation on same day as treatment to 412-330-4221<br />
Current as of June 4, 2009 Page 2 of 2
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