The Need for Clinical Documentation Integrity in Critical Access Hospitals

AHIMA November 13, 2020
Kelly Bucci, Jennifer Wexler, and Melissa Koehler, RHIA, CHDA, CDIP, CCS, CCS-P, CCDS

Critical-access hospitals (CAHs) provide healthcare to residents that live in rural and remote areas. According to the Centers for Medicare and Medicaid Services (CMS), designation as a CAH requires the following standards:¹

• Located in a state that has established a State Medicare Rural Hospital Flexibility Program
• Be designated by the state as a CAH
• Located in a rural area or an area that is treated as rural
• Located either more than 35 miles from the nearest hospital or CAH or more than 15 miles in areas with mountainous terrain or only secondary roads; or, prior to January 1, 2006, were certified as a CAH based on state designation as a “necessary provider” of healthcare services to residents in the...

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