Insufficient Documentation CMS

The Cost of Insufficient Documentation

Insufficient documentation is the root cause for most of CMS’s improper payments. For example, according to the Medicare-Fee-For-Service 2016 Improper Payments Report, CMS paid $36.3 billion in improper payments, 64.1% of which were attributed to insufficient documentation. The guiding rule is if it didn’t happen in the documentation, then it didn’t happen at all. The …

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