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Help · Claims and revenue integrity

Documentation deficiencies

  • Implant invoice not attached — the commonest orthopaedic deduction.
  • Consent for a room above the eligible category, absent.
  • Notification of admission outside the window.
  • Discharge summary missing the indication for the procedure.
  • Investigations without a documented reason.
  • Unspecified ICD-10 where a specific code existed in the notes.

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