tci E/M Coding Alert - 2019 Issue 1

Documentation: Pay Attention to Medicare Guidelines Before Documentation Sign Off

These 5 simple steps will help you avoid claims denials, compliance issues. Making sure the right person signs medical documentation in the right way may seem like a trivial component of your job. Yet “signature issues are among the biggest findings in the comprehensive error rate testing (CERT) and medical error rate programs,” said NGS Medicare’s Gail O’Leary during the MAC’s Sept. 19 webinar “Medicare Signature Guidelines.” So, with denials and compliance problems on the line, you might want to refresh your knowledge of Medicare’s definitions regarding what constitutes an acceptable...

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