Tightrope Walking: Correcting Errors in Health Care Documents After the Fact

Important issue!! I posted it on Friday, so for those who missed it…(because your weekends started early)

medicaidlaw-nc

People screw up. We are human; hence the term, “human error.”

But how to handle said mistakes in health care records after the fact, which could be the target in a Medicare/caid audit?

This is a very important, yet extremely “fine-lined” topic. Imagine a tightrope walker. If you fall off one way, you fall to the abyss of accusations of fraud. You fall off the other way and you fall into the ocean of the False Claims Act. Fixing document errors post date of service (DOS) is a fine line with catastrophic consequences on both sides.

tightrope

In NC, our administrative code provides guidance.

“SECTION .1400 – SERVICE RECORDS
10A NCAC 13J .1401 REQUIREMENT

(a) The agency shall develop and implement written policies governing content and handling of client records.

(b) The agency shall maintain a client record for each client. Each page of the client record shall have the client’s name…

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About kemanuel

Medicare and Medicaid Regulatory Compliance Litigator

Posted on November 2, 2015, in Uncategorized. Bookmark the permalink. Leave a comment.

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