Documentation:
Need to Amend a Patient Encounter? Better Check These Directions First
Published on Wed Mar 06, 2013
Heads up: Single-line corrections are fine. If you discover your family practitioner forgot to document the amount of time spent counseling the patient or the patient’s diagnosis, just adding that info in without following some important guidelines can get you into hot water with CMS and auditors. The skinny: When records need to be amended, CMS in Transmittal 442, released [...]