tci Part B Insider - 2010 Issue 41

Documentation: Extra Scribbles Can Lead To Fines, Jail Time

Make sure doctors date all new entries on patient recordsIf you suspect that someone in your practice has been rewriting history, you need to get to the bottom of it immediately.When someone improperly revises patient documentation, it can create huge compliance problems as well as jeopardize payments, say attorneys.Analysts tell Part B Insider that there are several situations where improper revisions could cause problems for a physician practice. Two examples follow:1. An administrator at a practice required doctors to route all charge slips through his office before they went to the billing department. Eventually the practice discovered...

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