The auditor for NCQA requests a pdf printout from the source whenever possible. A screenshot can be a substituted but must be legible, so is not preferred. The following information is needed on the document:
- Patient name
- Patient date of birth
- Facility name
- Provider name
- Signature page of Encounter/Procedure report
- Date of service
- Clinical data relevant to audit
The only patient data audited is data the participant has already shared with MX. No additional patient information is requested.