tci Medicare Compliance & Reimbursement - 2012 Issue 1

Documentation Red Flags: Know When A Clarification Hurts Instead of Helps

Documentation Red Flags: Know When A Clarification Hurts Instead of Helps "With regard to supplementing documentation in preparation for ... audits, providers certainly need to proceed with care," advises Washington, D.C.-based attorney Elizabeth Hogue. "Whether or not it is appropriate to supplement documentation must be decided on a case-by-case basis." You should not be routinely making revisions to clinical records prior to sending them off in response to an advance development request (ADR), counsels regulatory consultant Rebecca Friedman Zuber in Chicago, Ill. Red flag: If you make a lot of corrections in your clinical records, that...

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