tci Part B Insider - 2011 Issue 44

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

If you correct or add to every medical record that gets reviewed, you may come to regret it."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...

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