Does the UCLA Code of Conduct set expectations for physicians and practitioners around documentation?
Yes, The UCLA Code of Conduct addresses this issue under several standards. Here are sample statements:
Supporting medical documentation must be prepared for all services rendered. UCLA Health Sciences personnel shall not bill for services if the appropriate and required documentation has not been provided.
The University’s records shall not contain any false, fraudulent, fictitious, deceptive or misleading information.
It is unlawful to knowingly make false entries in a medical record.
UCLA Health Sciences personnel responsible for coding, billing and documentation should ensure that they are knowledgeable about all University policies and procedures, federal and state regulations regarding those activities.