Healthcare News: Medicare audits target documentation for inpatient psychiatric services

Article Overview

This article covers Medicare Recovery Auditor review activity for inpatient psychiatric facilities and summarizes the documentation elements CMS expects to see in the medical record. It is aimed at providers, coders, auditors, and compliance staff who work with inpatient psychiatric services. The discussion also places the topic in a coding context by noting the initial inpatient encounter CPT range and the use of ICD-10-CM diagnosis coding for psychiatric and substance-related conditions.