Discussion: Clinical Documentation Guidelines

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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.pdf (Links 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.)  

 The initial response must be relevant, detailed, specific, at least 250 words 

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