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DiraChart Clinical Reference
Section NavigationPart 11 of 15PreviousNext 10. Audit, denial and survey risks
The domain’s common Part A denial patterns and the F-tag(s) it is surveyed under. The full catalog lives in Denial Patterns.
Risk | Why it fails | Corrected pattern |
|---|
O0500 not supported | Coded but no minutes/technique/days in the record. | Document technique, minutes/day, and days delivered. (F641.) |
No RN evaluation | Program runs with no periodic RN re-evaluation. | Document the periodic RN evaluation and any adjustment. (F676/F677.) |
No CNA carryover record | Carryover assumed, not verified. | Document CNA training with a return-demonstration result. (F726.) |
Restorative ≠ therapy confusion | Restorative billed/coded as therapy. | Keep restorative in the nursing component; separate skilled therapy. |
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