Amendments, Corrections and Delayed Entries in Medical

3.3.2.5 - Amendments, Corrections and Delayed Entries in Medical Documentation (Rev. 12633; Issued: 05-09-24: Effective: 06-10-24; Implementation: 06-10-24) This section applies to MACs, CERT, RACs, SMRC and UPICs, as indicated. All services provided to beneficiaries are expected to be documented in the medical record at the time they are rendered. Occasionally, certain entries related to services provided may not be properly documented. In this scenario, the documentation may need to be amended, corrected, or entered after rendering the service. The date and author of any amendment, correction or delayed entry should be identifiable, and the change/addenda should be clearly and permanently denoted. Contractors shall review any amendment, correction, or delayed entry in accordance with section 3.3.2.4 of this chapter. If the MACs, CERT, SMRC or RACs identify medical documentation with potentially fraudulent entries, the reviewers shall refer the cases to the UPIC and may consider referring to the RO and State Agency.