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Physicians Should Furnish Patient Record Data To HCFA Auditors - Committee

This article was originally published in The Gray Sheet

Executive Summary

Physicians who order diagnostic tests should supply HCFA auditors with relevant portions of patient medical records to support medical necessity in post-payment reviews when documentation is not sufficient to satisfy Medicare validity claims, according to a tentative consensus reached by the Health Care Financing Administration's Negotiated Rulemaking Committee for clinical diagnostic tests Sept. 14-16 in Washington D.C.

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