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Audit Tool: Documentation assessment template for medical necessity

Glenn Krauss, BBA, RHIA, CCS, CCS-P, CPUR, FCS, PCS, CCDS, C-CDI, C-DAM, CDI manager at Washington Adventist Hospital worked with his medical and quality staff to create this audit tool to use when reviewing a record and providing feedback to physicians on the quality of their documentation.

 

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