Menu

Blog

Documentation Tip of the Week: Avoid Medicare Audits

Posted on Tue, Jul 29, 2014

Avoid Medicare audits 

Protect yourself and your hospital from a Medicare audit by documenting carefully and effectively. Auditors look to confirm the presence of “medical necessity.” Use strong action words like:

  • Acute
  • Exacerbation
  • Acute or chronic
  • Worsening

Remember to support your assessment and plan with a physical exam that demonstrates the findings consistent with your chosen diagnosis.

Timothy N. Brundage, M.D., CCDs is a Certified Clinical Documentation Specialist and Diplomate of the American Board of Internal Medicine.










RELATED POSTS

6 Best Tips to Boost Your Documentation Process: Tip 5

6 Best Tips to Boost Your Documentation Process: Tip 4

6 Best Tips to Boost Your Documentation Process: Tip 3

6 Best Tips to Boost Your Documentation Process: Tip 2

6 Best Tips to Boost Your Documentation Process: Tip 1

Share    
Comments
Blog post currently doesn't have any comments.