Long-Term Care Survey Alert

Documentation:

Heed This HEAT Training Advice for Documenting Diagnostic Testing

OIG chief medical officer provides 2 tips.

Heads up: Providing "clear information showing your rationale for performing a diagnostic test helps demonstrate that the test was necessary and will help you meet the medical necessity requirement," advised Julie Taitsman, MD, JD, OIG's chief medical officer, during a session in the government's HEAT training, which is now available online.

Also: "Clear documentation of the test results helps substantiate that the test was completed and will also help substantiate the need for subsequent care that might get later billed to the programs," Taitsman added.