Physician ReviewerS
Physician Reviewers provide case specific review for determination of
appropriate setting, DRG assignment, and quality of care. Case Review
Coordinators assess the chart to determine if documentation and
ancillary data support the diagnosis. When supporting documentation and
quality of care may indicate the need for further determination, the
record is sent to a Physician Reviewer for his/her medical expert
input. Review is accomplished by physicians that are employed by
NDHCRI. Whenever possible, Physician Reviewers have the same licensure,
practice in the same setting and specialty as the initial provider of
care.
NDHCRI
requires a dynamic and dedicated physician review staff. Any physicians
in North Dakota that would be interested in providing record review are
invited to contact NDHCRI at 800-472-2902 or fill out this Physician
Reviewer Application form and fax to 701-838-6009 or mail to
NDHCRI, Joy Ryan, Medical Records Coordinator, 800 31st Ave. SW, Minot,
ND 58701.
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