A previous doctor I worked with went to the hospital and multiple nursing homes. We came up with an index size template and had thin cards made up with the template that he completed for each patient for hospital care - any type - admits, d/c, daily rounds, ER visits and anything else that happened there. He marked the level of service, diagnosis and some things for him to remember to do, order tests, etc. This worked really well. I then followed up with notes via the online hospital software within a couple of days. For NH visits, the facilities actually provided him with a schedule that he wrote beside each patients name what service was provided. As he was a fantastic documenter, and we did not get NH notes until two weeks later, I went ahead and billed using this form and briefly Q/A his notes when they arrived. I never had to change a level of service. He was great about doing this and once or twice forgot to bring back the form, which he then called the NH and had them fax it to me. I know not every doctor is like this, but it may work for some of you.
Another thing a doctor I did some billing for did, was he had some kind of software on his blackberry, with a template similar to what I mentioned above and he would not when he admitted someone and mark each day accordingly. I woulnd "hot sync" it daily and again compare notes I got from the hospital system. I have no idea what the program was, sorry.
Maybe these ideas will help you!
Machelle Morningstar, CPC, COC, CEMC, COSC
AHIMA Approved ICD-10-CM/PCS Trainer