Clinical Documentation Best Practices

When submitting a request to Cohere, it is important that clinical documentation meets the specific requirements. Documentation with vague descriptions or omitting required documentation can result in the need for a peer-to-peer consult or a denial of the authorization request. Click here to download and print the details below and view an example.

  1. Include two patient identifiers
  2. Document specific % of improvement
  3. Demonstrate a consecutive timeline - the specific date range that the treatment(s) were completed.
  4. Indicate the time between treatment - if a policy requires a specific number of weeks or months between the initial and subsequent procedure, include all dates and BE SPECIFIC.
  5. Include all details about medications - this means indicating the medication name, dosage, and duration.
  6. Note all attempts and contraindications - even if the treatment was unsuccessful it must be documented.

 

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