tci Medicare Compliance & Reimbursement - 2014 Issue 23

Audits and Records: Are You Among the Providers Who Can't Produce Documentation?

Take note of the four-pronged approach used by CERT reviewers. You don’t want to cause an auditor’s biggest headache. Messy records or illegible documentation are bad enough, but missing documentation will most assuredly land you in hot water. Find What the Auditor Is Missing This is the heart of a recent Comprehensive Error Rate Testing (CERT) finding, which the Centers for Medicare & Medicaid Services’ (CMS) published in its most recent Medicare Quarterly Provider Compliance Newsletter. Noting that reviewers are “vexed by insufficient documentation,” the agency says that it can be very difficult for reviewers...

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