Quality Documentation Tip: Depression Screening

Here are a few essential documentation elements that will ensure your Depression Screenings meet the CMS requirements:

  • The screening must be referenced in your Assessment & Plan and noted to be “positive” or “negative.”
  • For negative screenings, it is acceptable to simply state that the screening is negative.
  • For positive screenings, a follow-up plan must be documented.

Our network’s scores for this metric dramatically improved in 2017. Let’s keep that momentum going for 2018!