Put MEAT in Documentation for Healthy Audits

Submitted by: Angie Hlad, CRN-C, Risk Adjustment and Coding Coordinator

Complete and accurate documentation is the key for impacting quality, safety, efficacy, and data integrity.  Additionally, complete and accurate documentation helps safeguard against payment recovery from Medicare in an audit situation.

Medicare wants to ensure payments to PACE organizations match the expected costs of care.  In order to accomplish this, CMS scrutinizes health plans with both random and targeted audits for validity of diagnoses submitted.  …

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