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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 AmeriHealth
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 System and Process Changes 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 AmeriHealth
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.
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