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ladena rhoden
New CMS Documentation Requirements

I have been contacted by our business office about the CMS requirement for 'start' and 'stop' time documentation of IV solutions/meds to receive reimbursement.

Just getting proper documentation of start times is a challenge.  We will be going to a scanning system later in the year, which should be helpful with this.

I would appreciate any input on how others are planning on dealing with this issue.


We are a critical access hospital with inpatients and an outpatient infusion center, and have had this as a requirement for a year.  It was difficult at first the "dog" the staff for documentation.  However it is probably best practice.  It helps confim rates, ensures infusions are started and finished in the proper time frame for the medication and makes the nurses check their piggybacks to ensure it has infused. 

Susan S
OK...I give up.I have to
OK...I give up.I have to ask....What is "CMS"....perhaps others are confused by this as well, (I notice no one has replied)

Susan Schuetrumpf, RN, CRNI, VA-BC
Atlanta GA

CMS is Center for Medicare
CMS is Center for Medicare and Medicaid Services. My concern is that you are relying on mandates from CMS before you document this important aspect of patient care. This has long been a recognized part of the documentation standards of practice for all infusion therapy. What am I missing in your question? Lynn

Lynn Hadaway, M.Ed., RN, BC, CRNI

Lynn Hadaway Associates, Inc.

126 Main Street, PO Box 10

Milner, GA 30257


Office Phone 770-358-7861

CMS is

CMS is Medicare/Medicaid

With the new pay for performance times of meds administered will likely be a criteria for payment

They are looking for the fact that the antibiotics were hung one hour prior to surgery etc

Bar codiing/scanning of start and finish of all drugs will be necessary

Kathy Kokotis

Bard Access Systems

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