tci Part B Insider - 2012 Issue 6

Know What Constitutes 'Exceptional' Documentation

Keep the 'Five W's' in mind for records that stand out.Most of us are familiar with the bare minimum requirements necessary for medical documentation--but how many practitioners can say that their documentation is "exceptional?" TrailBlazer Medicare's Sherrie Varner answered the question about how to create exceptional documentation during the MAC's Feb. 8 webinar, "Medicare Documentation and Audits." Read on for her tips about the "Five W's" that make medical records shine.Who. List the performing, supervising, and referring practitioners.What (and how many). Document the services and quantities of services performed.Where. The place of service...

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