Medical Document Policy

Medical record documentation is kept for each patients visit. They are constantly reviewing their medical records so that each claim submitted for financial reimbursement is supported by ample official documentation to verify the services performed and the level of care. Requested medical records sent to patients are the basis for all services that are billed. Their documentation is substantiatind that the services billed were rendered reasonably and with medical necessity based on current standards of practice on the medical community. In accordance with S1883(e), Title XVIII of the Social Security Act, our medical records accurately and with due dilligence, substantiate the levels of service required.

"Medical records and documents" refers to the recording of all patient facts, findings, and observations about an individual's health history, including past and present illnesses, examinations, test, treatments, and outcomes. Medical records of patients are also documented chronologically to show how a patient is reacting to treatments and care. They are always complete and legible. Each is able to "stand alone". Each progress note written has enough medical information to thouroughly represent the observations, conclusions, and treatment rendered at the time the service is performed.

If you require further information on our Medical Records Procedures, please contact us via the form on the homepage.

Thank you.