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These tabs track the clinical documentation that determines whether your admissions are compliant.

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Admission Log

Patient admission records with attending physician and compliance status. Columns: Patient · Admitted · Physician · Compliance Compliance shows whether the admission has the documentation it needs. An admission without a physician recorded is the most common gap.

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Physician Orders

Physician order records with compliance verification status. Columns: Patient · Physician · Order Date · Compliance
Services delivered without a valid physician order are not billable, and the care has already happened by the time you notice. Check order compliance at admission, not at billing.
Order Date matters as much as the order existing. An order dated after services began does not retroactively authorize them.

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Audit Checklists

Audit checklist progress tracking for compliance reviews. Columns: Date · Progress Use these to work through a review systematically rather than sampling ad hoc.

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Medicare Tracking

Medicare compliance metrics with admission counts and compliance rates. Columns: Period · Admissions · Compliant · Rate
Rate is a trailing indicator. By the time it drops, the affected admissions have already happened. Work the admission log and physician orders daily so the rate stays high by default.

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Checking a new admission

1

Confirm the attending physician is recorded

On the admission log entry.
2

Confirm a physician order exists

With an Order Date on or before the service start date.
3

Check compliance status on both

Both the admission and the order must show compliant.
4

Resolve gaps before services begin

A gap found now is a phone call. Found at billing, it is unbillable care.

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Reviewing the period

1

Check the Medicare compliance rate

Compare against previous periods.
2

Identify non-compliant admissions

The difference between Admissions and Compliant.
3

Find the missing documentation

Usually a physician order, or an order dated too late.
4

Work the audit checklist

Track your review progress so it can be evidenced.

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Troubleshooting

Care network

Physician records and NPIs.

Members

Member records and admission status.