decisionhealth Newsletters, Part B News - 2021 Issue 12 (December)
Employees want ‘curbside’ care? Be careful, and make sure it’s on the record
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Article Overview
This article discusses documentation and workplace risks when physician practices handle informal care requests from employees or other nontraditional encounters. It explains why formal processes, written policies, and clear recordkeeping matter for compliance, employment concerns, and medical-legal protection. The piece is aimed at practice managers, coders, and healthcare compliance staff who need to understand when an encounter should be treated as a documented patient event and how to handle early departures or quasi-visits.
Why This Topic Matters
Undocumented informal care and incomplete encounters can create legal, employment, and compliance exposure for medical practices. Clear policies and consistent documentation help protect the practice and support accurate records.
Article Sections
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Informal staff care requests and documentation concerns
This section discusses the risks that arise when practice staff seek informal medical attention from physicians in the office setting. It addresses why these encounters can create compliance, employment, and medico-legal concerns.
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Early exit? Write it down
This section covers situations where a patient leaves before an encounter is completed and why documentation still matters. It focuses on recordkeeping practices for incomplete or non-billable office events.
What You Will Learn
- Why informal workplace care requests can create practice risk
- Why written office policies are important for handling staff treatment
- How incomplete patient encounters should be documented
- How medical records serve as a business and legal record
Who Should Read This
- Physician practice managers
- Medical coders
- Compliance staff
- Healthcare administrators
- Office managers
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