Clinical Charting Guidelines per the IPPS Rule and How that Applies to Electronic Documentation
Michael Larson, Deloitte Consulting. As has always been the case, the medical record must substantiate the diagnosis, procedures and services that appear on the claim. With the recent Inpatient Prospective Payment System (IPPS) rule from the Centers for Medicare and Medicaid Services (CMS), the need for accuracy and precision of clinical documentation is expected to […]