Page 14 - Risk Reduction Series Effective Systems Part 2

SVMIC Risk Reduction Series: Effective Systems

recommended and performed, as well as the results and

interpretation of those tests.

• If the patient refuses your advice or recommendations,

document this in the record and convey it to the referring

physician.

• If your plan involves continued treatment but you are

signing off of the case, be sure you communicate with the
referring physician to ensure the patient can obtain the

appropriate treatment.

• If the referring physician has asked you to assume the

care of the patient, indicate in writing whether or not you
accept.

• In all instances, clarify the role of each physician in the
patient’s care.

• If the patient cancels or fails to keep the initial

appointment, notify the referring physician. You may do
this by simply noting the no-show or cancellation on the
original request for consultation document and mailing or

faxing it back to the referring physician. You may also call

the physician or the office and document who was notified.
Many offices have a template or form letter that is faxed
or mailed to the referring physician as notification of the

cancellation or no-show. If appropriate, have your office

make an attempt to reschedule the appointment with the
patient. All of these communications should be recorded
and kept in the medical record.

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