1. Documentation must be entered in a timely manner and must be decipherable to members of the healthcare team as well as other individuals who may need to review the information (e.g., auditors). Proper credit cannot be given for documentation that is difficult to read. 2.Information shou...
We restricted our analysis to Part B covered services (physician and other professional services, ambulance, durable medical equipment, and Part B drugs) that were active nationally in the precertification program for all of 2017 and required medical review. We excluded steerage reviews, which encour...
Logistic regression was used to investigate mortality, which had a low probability of occurring and for which a linear model may not have been appropriate. In addition to these statistical models, we described unadjusted trends in mental health visits, acute care use, and medication fills at the...
The Medicare data set is based on billing data from ICD-9-CM and CPT codes; certain codes for parameters relevant to this study were thus not available, including visual acuity, medication use, and laterality of cataract surgery. Additionally, there were certain relevant parameters for which a ...
Also using REGARDS study data, we defined the presence of uncontrolled LDL cholesterol, using two cut-points, among REGARDS-Medicare linked participants at high risk for CHD events who were using statins according to the REGARDS in-home visit medication inventory (N = 1,583): Condition 4:...
code indicates that documentation is available in the patient’s records which will support the distinct, significant, separately identifiable nature of the evaluation and management service submitted with modifier -25, and that these records will be provided in a timely manner for review upon request...