Traditional Culture Encyclopedia - Almanac inquiry - How to write the discharge summary is beneficial to insurance claims.

How to write the discharge summary is beneficial to insurance claims.

Discharge summary is an important data for insurance claims, especially for medical insurance claims. When writing the discharge summary, we must follow the real-time medical situation, don't exaggerate, don't cheat, and pay attention to the time node. Specific precautions are as follows:

1. If related diseases must be treated together with accidental injuries, if necessary, remind the attending physician to indicate the necessity, correlation and correlation degree of treatment together in the medical record.

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2. During the treatment period, the injured person needs to be transferred to another hospital for treatment, buy medicines, buy assistive devices (such as crutches and wheelchairs), and need to be accompanied by two or more people (if there is no such item, the nursing expenses of one person will generally be compensated). When determining the amount of compensation in the later stage, doctors' orders are needed to prove the necessity of the expenses (reminding doctors to indicate the above-mentioned orders in the case, medical record, discharge summary and follow-up medical record).

3. When leaving the hospital, carefully check whether the doctor's orders in the discharge summary are comprehensive, and pay attention to the suggestions on how many days to rest for the injured after discharge, and strengthen nutrition and nursing by special personnel. The number of days should be specific (generally speaking, doctors can rest for up to three months at a time. If they need to continue to rest beyond the time limit, they should go to the hospital for re-examination, and then ask the doctor to write a three-month rest time on the medical record, and the nutrition and nursing will be strengthened by special personnel). This will provide a calculation basis for future claims for lost time, nutrition and nursing expenses.

4. Regarding the time when the disease or related symptoms occurred, be careful not to write it casually a long time ago, such as before insurance, which will affect the claim settlement of the policy.

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