Tag Archives: "RADV"

Clinical Documentation Improvement in PACE

Capstone LogoClinical Documentation Improvement in PACE

By: Dr. Richard Schamp, CEO

Clinical documentation is at the core of every healthcare encounter. Therefore it should be complete, precise, and reflect the diagnoses as well as the scope of care and services provided.  Assuring consistency in provider documentation that is accurate, specific, legible and timely represents a challenge for many organizations.

Providers (doctors, nurse practitioners, therapists and others) are trained in clinical documentation, but often…

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Risk Adjustment Data Validation (RADV) Guidelines for Medical Record Documentation

Written by: Dr. Richard Schamp, CEO

The Centers for Medicare and Medicaid Services (CMS) perform risk adjustment data validation audits on patients’ medical records. Risk adjustment data validation (RADV) is the process of verifying diagnosis codes submitted for payment are supported by medical record documentation. The purpose is to ensure risk adjusted payment integrity and accuracy.  CMS has announced its intention to increase auditing activity consistent with an emphasis to reduce payment errors.

Signs your plan may be at risk for…

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