decisionhealth Newsletters, Coder Pink Sheets - 2019 Issue 10 (October)
Prepare to expand list of who can document the record, and who must verify
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Article Overview
This article explains a proposed CMS policy update affecting medical record documentation review and verification in the 2020 Medicare physician fee schedule. It is relevant to physicians, nonphysician practitioners, compliance teams, coding staff, and practice administrators who need to understand how documentation responsibilities may shift, what kinds of clinical staff may be involved, and why CMS is pursuing the change. The piece also summarizes the administrative burden reduction rationale and notes that final operational details will depend on the rulemaking process.
Why This Topic Matters
Documentation and verification rules affect workflow, compliance, record integrity, and staff responsibilities across care teams. Understanding the proposed CMS direction helps practices prepare for potential operational changes and public comment considerations.
Article Sections
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Proposed documentation and verification changes
Summarizes the proposed CMS adjustments to medical record documentation review and verification within the 2020 Medicare physician fee schedule.
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Administrative burden and workflow impact
Discusses the broader goal of reducing paperwork and improving efficiency for clinicians and care teams.
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Open questions and rulemaking timeline
Notes that some operational questions remain unresolved and references the public comment period and pending final rule.
What You Will Learn
- How the proposed CMS documentation update is framed
- Which broad groups of clinicians may be affected by the proposal
- Why CMS says the change is being considered
- What issues remain pending before the rule is finalized
- When comments on the proposed schedule were due
Who Should Read This
- Physicians
- Physician assistants
- Nurse practitioners
- Clinical nurse specialists
- Certified nurse-midwives
- Medical coders
- Compliance professionals
- Practice administrators
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