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Audit/Denial Analysis – 2/15/10 « HCAF News Feed

February 21st, 2010 | Tags: care-plan, care-plans, choose-policies, cost-more, feet-at-eval, guides-on-being, included-orders, nurse-practitioner, primary-nurse, standard, the-claim, the-conclusion, the-therapy, ucsf, will-increase

The primary nurse followed the physician’s orders and the care plan included orders for both PT and OT to evaluate and treat. The physical therapy program focused on distance ambulated (125 feet at eval), endurance, and exercises. … The qualification of the nursing component of the claim leads to the conclusion that the nursing care met the standard of reasonable and necessary, particularly in contrast to the therapy programs. The deficits and care needs are expectable …

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Audit/Denial Analysis – 2/15/10 « HCAF News Feed