tci Medicare Compliance & Reimbursement - 2013 Issue 1

Industry Notes:

Use ‘Single Line Strike’ to Amend Medical Record, CMS Says Most practices have been there: You review the documentation only to realize that you left out some important information, such as the time spent with the patient performing counseling, or you forgot to include the diagnosis. When you have to go back and amend the record, make sure you follow CMS’s rules, which were revised on Dec. 7 in Transmittal 442. CMS encourages providers to "enter all relevant documents and entries" into the record at the time of service, but notes that "occasionally, upon review a provider...

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