medicalauditor
Networker
Hi guys,
I know that it is illegal to make corrections to a medical record after a denial, in order to get the claim paid, or after documents are requested by a payor. In fact it is not appropriate to make any changes after a claim is submitted. I found several resources that confirm this, including Noridian and some commercial payors. However, I can't seem to find any CMS or OIG document that explicitly states this. Can someone please guide me to a CMS or OIG document that talks about this? Thank you so much.
I know that it is illegal to make corrections to a medical record after a denial, in order to get the claim paid, or after documents are requested by a payor. In fact it is not appropriate to make any changes after a claim is submitted. I found several resources that confirm this, including Noridian and some commercial payors. However, I can't seem to find any CMS or OIG document that explicitly states this. Can someone please guide me to a CMS or OIG document that talks about this? Thank you so much.