Showing posts with label Adequate Medical Records of a Benefit under MSP. Show all posts
Showing posts with label Adequate Medical Records of a Benefit under MSP. Show all posts

Monday, 18 September 2017

Assignment of Payment

An “Assignment of Payment” is a legal agreement by which an attending practitioner designates payment for his/her services to another party. In this circumstance, the designated party may use the attending practitioner’s practitioner number in combination with its own payment number when submitting claims to MSP. To authorize MSP to make payment to a designated party, the attending practitioner must complete and file an “Assignment of Payment” form. However, even though the payment has been assigned, the responsibility for the clinical service and its appropriate billing remains with the practitioner whose practitioner number is used.

Adequate Medical Records of a Benefit under MSP

Except for referred “diagnostic facility” services, a medical record is not considered adequate unless it contains all information which may be designated or implied in the MSC Payment Schedule for the service. Another medical practitioner of the same specialty, who is unfamiliar with both the patient and the attending medical practitioner, would be able to readily determine the following from that record at hand:

a. Date and location of the service.
b. Identification of the patient and the attending medical practitioner. 
c. Presenting complaint(s) and presenting symptoms and signs, including their history. 
d. All pertinent previous history including pertinent family history. 
e. The relevant results, both negative and positive, of a systematic enquiry pertinent to the patient’s problem(s).