The Big Myth If it isn't written, It wasn't done

Article Overview

This article examines a common Medicare compliance belief about missing documentation and explains why the topic matters for billing, audits, appeals, and documentation risk management. It focuses on CMS guidance, Medicare review practices, and the distinction between documentation guidelines and broader evidentiary requirements. The piece is aimed at coders, compliance staff, billing professionals, and providers who want to understand how documentation issues can affect claim review and defense.