tci Medicare Compliance & Reimbursement - 2014 Issue 20

Audits: 3 Medical Examples to Boost Your Documentation Prowess

Discover the top diagnoses and procedures where RACs are aiming their sites. Getting burned by RAC audits ruled against your favor when you know your facility was in the right? The devil is in the details, and your documentation is likely the culprit.  “There are two elements to better documentation,” says Deepak Pahuja, MD, FACP, CEO and chief medical officer for Aerolib Healthcare Solutions and member of the American College of Physician Executives, “the framework and the architecture.”  First, is following all the guidelines in the CMS Integrity Manual (e.g., having a...

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