Medical Records Component – Service Documentation
{"Image DocumentName": "Medical Records Component \u2013 Service Documentation", "Image ImageDescription": "79.3(2)c(3) Service documentation. Record shall include information necessary to substantiate the provided service. 1. Specific procedures or treatments. 2. Complete date of service with begin and end dates. (9 items on 3 pages. ) Questions providers can ask themselves: Does the delivered service support the goals identified for this member? Does the narrative clearly identify what the staff did? Does the length and substance of the narrative support the time billed? Does the narrative clearly describe the service provided? Does the narrative clearly identify the progress or lack of progress? Is the narrative legible?", "Image XResolution": "37", "Image YResolution": "37", "Image ResolutionUnit": "Pixels/Centimeter", "Image Software": "SlidePlayer", "Image YCbCrPositioning": "Centered"}