B-Tag Auditing Summary
In the process of completing an internal audit. Within that internal audit, they pulled a patients bill and medical records and traced everything back to make sure orders, charges and within that they found one discharge summary and psych evaluation that were missing diagnosis on both documents. We were cited for that and we told them that we notified medical staff and a reminder was sent by Becky Daniels. They pulled 20-25 records and only found 2.
Under the UM management review, Sandy will be reviewing the lab corp review during this meeting. Labs are continuing to be reviewed during B-Tag audits. B-Tag audits were completed yesterday and a continuous finding is that lab orders are written but they are missing from the charts.
Under the UM management review, Sandy will be reviewing the lab corp review during this meeting. Labs are continuing to be reviewed during B-Tag audits. B-Tag audits were completed yesterday and a continuous finding is that lab orders are written but they are missing from the charts.