Documentation Requests

Documentation Review Completed
The Documentation Review has been completed successfully.

Documentation Review

( Total HCCs: 1 ) point of care

Diabetes without Complication

HCC Reviewed

Review Date
09/09/2015

Reviewed By
SuperUser Account

Recommended Action
Documentation Supports / Change Code

Recommended Procedural Code
250.02

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Diam pede, nulla odio amet justo in rutrum. A nec nunc cum, iaculis phasellus tellus urna vivamus, ridiculus ut, a turpis varius augue mattis wisi, venenatis non sed interdum. Aliquam malesuada quis, viverra mauris, est nulla egestas sollicitudin justo. In lobortis eget. Nisl dolor eu viverra viverra sit, accusantium eros lacus ullamcorper orci mollis sed, viverra et tortor dignissim, commodo enim neque non bibendum, accumsan dui quam. Erat lorem massa sapien sed, amet metus lectus vel tempus mauris donec, luctus at qui a arcu dui mattis, in ut placerat convallis sed tristique tempus, vestibulum volutpat non. Lorem ac in ut elit ante condimentum, pede pellentesque ut dui magna. Vel lobortis augue eu magna. Nunc quam id, ac scelerisque scelerisque id morbi.

Review

Documentation Review

Agree

Disagree

Action Taken

Account Routing

Notes

Cancel

Action	whiteNumberBox	Note	Activity	Call User
No answer, left message with person	04/27/2015 - 9:02 AM	Jonathan was not home. A message was left with his sister.	Patient Engagement	Susan Peterson
Busy Signal	04/25/2015 - 10:23 AM	N/A	Documentation & Coding	Susan Peterson
Left Voicemail	04/21/2015 - 11:05 AM	No answer. Left message.	Patient Engagement	Jared Allen
Guarantor Requests Call Back	03/27/2015 - 3:02 PM	Spoke with Jonathan, however something came up and the call needed to be disconnected	Patient Engagement	Susan Peterson
No answer, left message with person	04/27/2015 - 9:02 AM	Jonathan was not home. A message was left with his sister.	Documentation & Coding	Susan Peterson
No answer, left message with person	04/27/2015 - 9:02 AM	Jonathan was not home. A message was left with his sister.	Patient Engagement	Susan Peterson
No answer, left message with person	04/27/2015 - 9:02 AM	Jonathan was not home. A message was left with his sister.	Patient Engagement	Susan Peterson
No answer, left message with person	04/27/2015 - 9:02 AM	Jonathan was not home. A message was left with his sister.	Patient Engagement	Susan Peterson
Busy Signal	04/25/2015 - 10:23 AM	N/A	Documentation & Coding	Susan Peterson
Left Voicemail	04/21/2015 - 11:05 AM	No answer. Left message.	Patient Engagement	Jared Allen
Guarantor Requests Call Back	03/27/2015 - 3:02 PM	Spoke with Jonathan, however something came up and the call needed to be disconnected	Patient Engagement	Susan Peterson
No answer, left message with person	04/27/2015 - 9:02 AM	Jonathan was not home. A message was left with his sister.	Documentation & Coding	Susan Peterson
No answer, left message with person	04/27/2015 - 9:02 AM	Jonathan was not home. A message was left with his sister.	Patient Engagement	Susan Peterson
No answer, left message with person	04/27/2015 - 9:02 AM	Jonathan was not home. A message was left with his sister.	Patient Engagement	Susan Peterson

Clinic / Department	Physician	Reason	Date	Time	Date Scheduled
Quest Diagnostics	—	Mammogram	04/15/2015	9:00 AM	03/10/2015
St. Michael's Medical	Dr. Smith	Wellness	02/10/2015	11:00 AM	01/15/2015