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Understanding Updated RAC ADRs

New changes impact the ADR limits for RACs. The Centers for Medicare & Medicaid Services (CMS) has modified the additional documentation request (“ADR”) limits for

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Notes on Notes on Notes on Notes

Yes, notes needn’t stand alone. Sometimes two contradictory principles work their way into conventional wisdom. I often hear people say, “Every note must stand alone.” Is

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The Case of the Missing Signature

It’s important to remember that Medicare manuals are not binding, and they can’t “require” anything, including signatures. A few weeks ago, I wrote an article

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Trading Rebuttals on Words versus Codes

When considering coding protocols, it’s vitally important to differentiate between “requirements” and “recommendations.” In June I did a Monitor Mondays segment and a RACmonitor article

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Think in Ink

Documentation should be concise information, justifying the acuity of an inpatient level of care when appropriate. Statements that physician documentation needs improvement are always being

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