Audit-Ready by Design: What CMS Actually Looks For in OASIS and Coding Documentation, and Why Most Agencies Find Out the Hard Way

Most agencies learn what a reviewer looks for after a request for records lands on their desk, often years after the care was delivered. This paper shows how reviews and audits actually start, which records reviewers compare, and the documentation patterns that most often draw questions. It also covers what to do now to protect your revenue as the CY 2027 changes take effect, and why a second layer of review is a best practice.

What’s inside:

• How reviews and audits start, from random claim sampling to OIG data analysis and the Review Choice Demonstration

• The six records reviewers compare, and where a mismatch tends to start a question

• Five documentation patterns from recent OIG audits, each with a quick check

• An eight-point self-check your team can run on 10 to 15 charts this week

• A six-step plan for what to do now to protect your revenue

• Why a second layer of review is a best practice, and the routes agencies take

Download the white paper