Navigating CMS Provider Signature Mandates & Medical Record Documentation Requirements

Recorded Webinar | Catrena Lewis | From: Nov 13, 2020 - To: Dec 31, 2020

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   $229  
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   $249  
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   $379  
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   $229  
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   $369  
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The latest guidelines around accurate provider signature requirements are still extremely stringent and challenging to follow. CMS has established very specific regulations and rules for provider signature requirements and appropriate medical record maintenance and documentation. Failure to follow the guidelines will lead to potential fines, penalties, and even exclusion from participation in government programs. Failing to validate compliant and accurate signatures on medical records and prescriptions is a very serious concern. These guidelines have to be followed without fail to support the documentation required to establish medical necessity. Strict guidelines have been established to mandate the presence of signatures for the medical review process. It is critical to ensure that all providers are compliant with their medical record documentation and it is vital for your staff to understand the importance of these signature requirements, Exceptions to the signature requirement, Timeliness/Dating issues, and much more. You also need to have in-depth knowledge of creating and identifying a “legal medical record” along with other RAC/MAC Identified areas of audits.

Agenda:- 

  • Latest CMS Signature requirements for Medical Review process
  • Hand-written vs Electronic signatures
  • Timeliness/Dating a Record Documentation/Signature Attestation Requirements for Medical Records
  • Case Studies and Examples for Valid Signatures vs Records with Signature Errors
  • Importance of accurate medical record documentation - Reimbursement process & continuity and quality of care
  • Creating & Identifying the "legal medical record”: Insights on every aspect of a perfect medical record
  • Documentation required for H&P, progress notes, and discharge summary
  • Outlining RAC/MAC identified Issues
  • Discussing the importance of compliance
  • Facilitating Provider Education
  • FAQs and Case Studies 

Catrena Lewis

Catrena Lewis, CCS, CCS-P, CPC, CPC-I, CHTS-PW is the Owner of Access Quality Coding and Consulting, LLC.  She has over 17 years’ experience in the Health Information Management Industry.  She has served in various roles such as Coding Specialist, Coding Auditor, Coding Trainer, Medical Records Technician, and Coding Manager.  She presents numerous online and in-person coding and billing education sessions annually.  She also presents and/or facilitates a variety of conferences, seminars, and CPC certification courses.  She is a former AAPC Local Chapter President, currently serves as a HIM student mentor and is an active AHIMA Volunteer. Catrena prides herself in helping to grow the next generation of health information management professionals.