Documentation And The Law

Front 1

Are students allowed to document for BCBS?

Back 1

NO!

Front 2

is it legally acceptable to do a late entry note?

Back 2

yes, label it as late entry and include the date of entry

Front 3

Valcin jury?

Back 3

-Jury instructed to presume that the missing documentation would favor the plaintiff

Front 4

If plantiff believes there is missing documentation?

Back 4

he or she can add a cause of action to the lawsuit called:

-Spoilation of evidence

-Intentional destruction, multiation, alteration, or concealment of evidence

Front 5

discharge summary should include?

Back 5

-Pt’s initial status

-Pt’s Discharge status

-Treatments received

-Outcomes

-Utilized to justify continuance or discontinuance of services

Front 6

excessive insurance means?

Back 6

an agreement to indemnify against any loss that exceeds the amount of coverage under another policy

Front 7

Declaratory Actions:

Back 7

determination of whether a policy covers a given incident to determine insurance coverage

You could bring a declaratory action against insurer if they deny coverage that is covered in the policy

Front 8

Bad Faith Claim:

Back 8

an insur an insurance company’s unreasonable and unfounded refusal to provide coverage in violation of the duties of good faith and fair dealing owed to the insured

-the insured feels that the insurer failed to act in the insured’s best interest

Front 9

Subrogation:

Back 9

The substitution of one party for another whose debt the party pays, entitling the paying party to rights, remedies, or securities that would otherwise belong to the debtor

-basically, dad pays son’s debt to the bank, now dad is responsible to the bank with anything to do with that claim – he is “subrogated”

Front 10

Reservation of Rights:

Back 10

a contract in which the insured acknowledges that the insurer’s investigation or defense of a claim against the insured doesn’t waive the insurer’s right to contest coverage later

Front 11

Occurrence Coverage:

Back 11

claim can be reported either during the policy period or after the policy expires

Front 12

Claims-Made Coverage:

Back 12

claim must be reported during the policy period

Front 13

Tail Coverage:

Back 13

purchase to address incidents that take place during the policy period but aren’t reported prior to expiration

-associated with claims-made policies

Front 14

Nose coverage:

Back 14

purchase for protection for incidents that may take place but aren’t reported prior to new policy’s effective date

-aka Prior-acts coverage