Compliance Rules
All Categories
All Statuses
| Rule Name | Category | Status | Version | Last Modified | Actions |
|---|---|---|---|---|---|
Documentation Completeness Check Ensures all required sections are present in clinical notes | Documentation | Active | 1.0 | 2024-03-15 | |
Code-Documentation Matching Validates that billed codes are supported by documentation | Billing | Active | 1.2 | 2024-03-10 | |
Signature Validation Checks for required provider signatures on documents | Documentation | Active | 1.0 | 2024-03-01 | |
Medical Necessity Validation Verifies that services meet medical necessity criteria | Clinical | Draft | 0.5 | 2024-03-05 | |
Modifier Usage Check Validates proper usage of code modifiers | Billing | Active | 1.1 | 2024-03-12 |