23 Miss. Code. R. 208-7.7 - Documentation and Record Maintenance
C. Documentation of
each service provided must be in the case record. Refer to Maintenance of
Records Part 200, Ch.1, Rule 1.3.
D. The entry or service note must include all
of the following documentation:
1. Date of
service,
2. Type of service
provide,
3. Time service began and
time service ended,
4. Length of
time spent delivering service,
5.
Identification of beneficiary(s) receiving or participating in the
service,
6. Summary of what
transpired during delivery of the service,
7. Evidence that the service is appropriate
and approved on the Plan of Care, and
8. Name, title, credential, and signature of
individual providing the service.
C. Documentation/record maintenance for
reimbursement purposes must, at a minimum, reflect the following:
1. Documentation requirements in the CMS
approved 1915(i) State Plan Amendment,
2. DMH Operational Standards,
3. Evidence that the service is appropriate
and approved on the Plan of Care, and
4. Documentation requirements in the DMH
Record Guide.
Notes
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No prior version found.