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Do’s and don’ts of defensive documentation

American Nurse

found that failure to document or falsifying documentation increased in frequency and severity in 2020, compared to 2015 and 2021. Documentation issues also can impact your license; the board of nursing may take disciplinary action or even rescind a license in the case of documentation maleficence. Don’t be subjective. JAMA Netw Open.

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Optimizing Revenue Cycle Management and Clinical Documentation Integrity To Avoid Coding Disasters

Relias

Yet coding mistakes can mean lost revenue, or worse — fines, compliance, and legal issues. Another case alleged that a health system defrauded the Centers for Medicare and Medicaid Services of $1 billion because doctors were pressured to add diagnosis codes to medical records that were nonexistent or unrelated to the visit.

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Optimizing Revenue Cycle Management and Clinical Documentation Integrity To Avoid Coding Disasters

Relias

Yet coding mistakes can mean lost revenue, or worse — fines, compliance, and legal issues. Another case alleged that a health system defrauded the Centers for Medicare and Medicaid Services of $1 billion because doctors were pressured to add diagnosis codes to medical records that were nonexistent or unrelated to the visit.

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Opinion: ReDonda Vaught Conviction Raises Serious Concerns for Healthcare Delivery

Hospital Recruiting | Nursing

The Centers of Medicare and Medicaid Services (CMS) conducted an inspection of VUMC and issued a Statement of Deficiencies surrounding Murphey’s death, which sparked a criminal investigation into Vaught. In 2021, after the criminal investigation was initiated, the TN Board of Nursing later revoked her nursing license in July of 2021.