17. Common audit and denial risks

The patterns below are the system-specific failure modes; each maps to Segment 6 (Denial Patterns).

• Swallowing charted qualitatively (“eats fine”) without a screen or texture verification.
• Thickened liquids or a modified texture charted as a fact without adherence or accuracy assessment.
• Aspiration signs or a choking event noted without action, holding the diet, or coordination (no closed loop).
• Repetitive, cloned swallow notes with identical wording and no trajectory.
• Teaching documented as “educated on swallowing” without learner response or return demonstration.
• A patient on a modified diet charted without an articulated ongoing skilled need (no screen, verification, teaching, or coordination rationale).