Documentation: Next Steps

Chart Review

  • Look at your documentation with “CMS Eyes”
  • Do you have all required documentation?
  • Does the chart reflect the medical AND rehab necessity?

Also See: Medicare Benefit Policy Manual Checklist and Common Pitfalls to Avoid

Communication Systems Review

  • Facilitate interdepartmental communication
  • 'Auditable' processes and paper flow 

Proactively address vulnerabilities

  • Education, forms
  • Internal communication network
  • Internal resources
  • Outside assistance, if needed

Financial Impact Review

  • Claims denials
  • Time spend in appeals processes
  • Potential loss of Medicare provider designation

Also See: Appeals Documentation

Continuous evaluation and improvement

 

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