Patient does not qualify based on evaluation, however, I am told that she has advanced ESRD....with labs to back it up that should qualify her. But, I am not seeing that picture just by the visit without any documentation.
Non compliant in many areas.......missed frequencies....non compliant with many of the COPs (one example....medical director not being present for IDG.......maybe over the phone and then somehow he is there to "sign" the paperwork without stepping foot in the building.
Patients are well cared for and the benefit portion of the COPs is followed well........most of these issues are with in the office with documentation, care plans, idg updates, etc.
I should be supervising these things, but spend the majority of my time out in the field seeing patients, doing admits. I am DCS, but have a patient caseload.....am on call 24/7....if not directly, always back up, but have been doing call about 20 days out of 30. Also working 60+ hours a week.
I just cant keep up.