Medical Record Maintenance: The importance of compliance
Patient care and the revenue cycle management revolves around medical records. It is the only documented proof of what took place during the patient’s visit. For accurate reporting on diagnosis codes, the medical record documentation must best describe the patient’s condition. This should include a specific diagnosis, symptoms, problems, or reasons for the visit. The provider is responsible for making sure ICD coding adheres to ethical standards. Member charts are subject to review and are […]
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