jmcalhaney
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I was wanting to know if anyone knew of a form that could be used for a 3 month summary for pain management patients. SC Medicaid requires this to be documented. I have pasted the guidelines below, but that is as far as SC Medicaid will go to tell me how it should be documented.
PAIN MANAGEMENT SERVICES
Documentation Requirements
Patient records must indicate medical necessity and are subject to post-payment review. Documentation in the record must indicate the treatment process, which includes the service(s) to be provided, diagnostic procedures, and treatment goals. Goals should be specific according to patient needs and the services to be rendered.
Progress summaries must be documented at a minimum of every three months. The summaries must address the patient's progress toward treatment goals, appropriateness of services rendered, and recommendations for the continued need for services.
PAIN MANAGEMENT SERVICES
Documentation Requirements
Patient records must indicate medical necessity and are subject to post-payment review. Documentation in the record must indicate the treatment process, which includes the service(s) to be provided, diagnostic procedures, and treatment goals. Goals should be specific according to patient needs and the services to be rendered.
Progress summaries must be documented at a minimum of every three months. The summaries must address the patient's progress toward treatment goals, appropriateness of services rendered, and recommendations for the continued need for services.