Clinical Documentation Matters

Below are some usefull sites for guidance on clinical documenation.

  Medicare Conditions of Participation – http://www.access.gpo.gov/nara/cfr/waisidx_01/42cfr482_01.html

JCAHO - http://www.jcaho.org/search_frm.html

PRO Directory -  http://www.hcfa.gov/quality/5b5.htm

Official Guidelines for Coding and Reporting (CDC) -   http://www.cdc.gov/nchs/data/icdguide.pdf

OIG - 3rd Party Billing Guidance (p.7 - fn.48-51) http://oig.hhs.gov/fraud/docs/complianceguidance/thirdparty.pdf

IPRO/New York State QIO:  http://providers.ipro.org/

Northeast Healthcare Quality Foundation’s Developing a Physician Query Process:  http://physician.mmc.org/Document%20Library/January%2006/MDQUERYGUIDELINES.pdf