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Coding, Chart Documentation and Reimbursement - Thurston ...

Coding, Chart Documentation and Reimbursement - Thurston ...

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<strong>Coding</strong>, <strong>Chart</strong> <strong>Documentation</strong> <strong>and</strong><br />

<strong>Reimbursement</strong><br />

Common E/M Service <strong>Documentation</strong> Errors<br />

– Cloning or Excessive <strong>Documentation</strong><br />

• The copy <strong>and</strong> paste, or “cloning,” of the<br />

medical records is on the OIG Work Plan for<br />

2012<br />

Cloning of documentation will be considered<br />

misrepresentation of the medical necessity<br />

requirement for coverage of services.<br />

Cloning also occurs when medical documentation<br />

is exactly the same from beneficiary to<br />

beneficiary or from visit to visit.<br />

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