Clinical Documentation Guidelines may be set by various licensing and regulatory agencies, as well as provided as guidelines by professional associations. For the purpose of this discussion, compare and contrast guidelines provided by CMS, NCQA, and AHIMA

Case Studies In Health Information Management
3rd Edition
ISBN:9781337676908
Author:SCHNERING
Publisher:SCHNERING
Chapter5: Compliance
Section: Chapter Questions
Problem 5.15.1C
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Clinical Documentation Guidelines may be set by various licensing and regulatory agencies, as well as provided as guidelines by professional associations. For the purpose of this discussion, compare and contrast guidelines provided by CMS, NCQA, and AHIMA. You may use the links below for your convenience: 

  1. CMS: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/CERTMedRecDoc-FactSheet-ICN909160.pdfLinks to an external site.
  2. NCQA: https://www.ncqa.org/wp-content/uploads/2018/07/20180110_Guidelines_Medical_Record_Documentation.pdf Links to an external site. 
  3. AHIMA: Read documentation guidelines in Fahrenholz, Chapter 2https://campus.ahima.org/campus/courses/CB/course_docs/HDCS/HDCS_V3_C2_FunctionsHealthRecord.pdf 
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