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ICN909160 | CMS - Centers for Medicare & Medicaid …

    https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/MLN-Publications-Items/ICN909160
    Format. Fact Sheet. ICN: 909160. Publication Description: Learn about proper medical record documentation requirements; how to provide accurate and supportive …

Documentation Matters Toolkit | CMS

    https://www.cms.gov/Medicare-Medicaid-Coordination/Fraud-Prevention/Medicaid-Integrity-Program/Education/Documentation

    Guidelines for Medical Record Documentation

      https://www.ncqa.org/wp-content/uploads/2018/07/20180110_Guidelines_Medical_Record_Documentation.pdf
      Guidelines for Medical Record Documentation Consistent, current and complete documentation in the medical record is an essential ... Consultation and abnormal …

    What Is Clinical Documentation Improvement (CDI)?

      https://www.aapc.com/clinical-documentation-improvement/
      Clinical documentation improvement (CDI) is the process of reviewing medical record documentation for completeness and accuracy. CDI includes a review …

    SAMPLE COMPLIANCE PLAN FOR PHYSICIAN AND …

      http://stdtac.org/wp-content/uploads/2016/05/SAMPLE-COMPLIANCE-PLAN-3-1.pdf
      H. Retention of Records/Documentation (The Medical Practice) will ensure that all records required by federal and/or state law are created and main-tained. All records …

    Documentation & EMR Guidelines - CUIMC Office for …

      https://www.compliance.cuimc.columbia.edu/billing-compliance/billing-compliance-manual/documentation-emr-guidelines
      Documentation and any billing by physician extenders should be under the rules of “incident to” billing or under their own billing numbers. Practitioners should check with …

    Tips For Effectively Managing Compliance Documents

      https://www.compliance.com/resources/tips-effectively-managing-compliance-documents/
      10 Tips for Compliance Document Management. Standardize the format used for policies and procedures to avoid missing key elements in the document. Policies and procedures …

    PHYSICIAN PRACTICE COMPLIANCE PROGRAM

      https://galenmedical.com/wp-content/uploads/2018/10/2018-Galen-Physician-Compliance-Program.pdf
      c. Documentation i. Medical Record Documentation ii. HCFA 1500 Form d. Kickbacks, Inducements and Self-Referrals 4. Retention of Records STEP THREE: DESIGNATION …

    The Basics of Medical Record - Keeping Documentation - Med-Net

      https://www.mednetcompliance.com/basics-medical-record-documentation/
      The Basics of Medical Record-Keeping Documentation. Jeannine LeCompte, Compliance Research Specialist. Many problems which arise as the result of …

    The Purpose and Meaning of Medical Record …

      https://www.mednetcompliance.com/purpose-medical-record-documentation/
      All medical records should at the very least provide the following data: – Essential information for resident care. – A legal record to support care and services …



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