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What is the central focus of clinical documentation? correct answersTo facilitate optimum patient care The CDEO will review the findings of the auditor in order to: correct answersPrevent deficient documentation Which sources other than federal healthcare plans may request the medical records? correct answersPatients, Providers involved with the patient's care, Employers for worker's compensation claims, Private Payers In addition to facilitating high quality patient care, a properly ...

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Adhering to the CMS Documentation Guidelines for E/M services will meet the clinical documentation requirements for all encounters. - No, the CMS documentation guidelines provide the least expected documentation to support a visit. In addition to facilitating high quality patient care, a properly documented medical record verifies and documents precisely what services were actually provided. Other than the site of service the medical record may be used to validate: - The appropriateness of ...

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