What is the Medical Necessity Tool?
SmartDoc Solutions has created an assessment tool for crews to use in their documentation process. Based on Medicare guidelines, the tool asks questions about the patient’s condition and produces a statement based on the information provided by the crew which details the reason the patient requires transport by ambulance. After confirming the accuracy of the statement, the crews can copy and paste the statement into their narrative.
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Why use the Medical Necessity Tool?
Documentation of Medical Necessity is consistently one of the top reasons for overpayments in EMS. We have found that lack of consistent documentation training—a lack of detail in the written narrative—and the imposition of a crew member’s personal bias—ignoring valid conditions—can create a deficiency in the documentation of Medical Necessity. With this tool, objective questions based on Medicare guidelines help crew members paint a full picture of the patient’s condition in a quick and easy manner that can be applied the same across the entire service.