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CMS Manual System

CMS Manual System Department of Health & Human Services (DHHS) Pub. 100-07 State Operations Provider Certification Centers for Medicare & Medicaid Services (CMS) Transmittal 47 Date: June 5, 2009 SUBJECT: Revised Appendix A, Interpretive Guidelines for Hospitals I. SUMMARY OF CHANGES: The revised issuance of Appendix A dated October 17, 2008, inadvertently omitted language relating to 42 CFR (c)(1), concerning medical record entries. This revision corrects that omission. NEW/REVISED MATERIAL EFFECTIVE DATE: June 5, 2009 IMPLEMENTATION DATES: June 5, 2009 Disclaimer for Manual changes only: The revision date and transmittal number apply to the red italicized material only. Any other material was previously published and remains unchanged. However, if this revision contains a table of contents, you will receive the new/revised information only, and not the entire table of contents.

Jun 05, 2009 · §482.24(c)(1) - All patient medical record entries must be legible, complete, dated, timed, and authenticated in written or electronic form by the person responsible for providing or evaluating the service provided, consistent with hospital policies and procedures.

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