Home Health & Hospice Week

Medications:

What Is A Clinically Significant Medication Issue?

Check this list and examples to steer in the right direction. The Centers for Medicare & Medicaid Services leaves it to the provider’s clinical judgment to determine whether a medication issue is "clinically significant." But the issue must pose an actual or potential threat to the patient’s health or safety, says Judy Adams, RN, BSN, HCS-D, HCS-O with Adams Home Care Consulting in Chapel Hill, NC. Examples of clinically significant medication issues include: Drug reactions. These are adverse reactions or consequences of taking a drug. A drug reaction may be a secondary effect of a medication that is undesirable and different from therapeutic or any response to a medication that is noxious, and unintended effect such as a rash. Ineffective drug therapy such as an analgesic that does not relieve pain. Side effects. These expected, well-known reactions occur with a predictable frequency and may or may not constitute an adverse [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Home Health & Hospice Week

View All