Which chart provides the best documentation for a RADV audit request for diabetes with neuropathy?

The selection aligns with the need for clear and comprehensive documentation regarding the specific condition in question—diabetes with neuropathy. Chart #2 provides a detailed diagnostic statement, explicitly indicating "DM with neurologic manifestations," along with the additional conditions of "polyneuropathy" and "CKD." This specificity is crucial in a RADV audit because it demonstrates the presence of neuropathy, directly supporting the claim for the diabetes diagnosis and its associated complications.

Having a robust and detailed diagnosis ensures that auditors can easily validate the information submitted for risk adjustment purposes. In RADV audits, vague or incomplete diagnoses may lead to challenges during the validation process, which is why comprehensive documentation is essential. Chart #2 includes the necessary complexities of the patient’s conditions, illustrating the severity and management of diabetes in conjunction with other health issues.

Charts that only list diabetes without specifically addressing the neuropathy or neurologic manifestations would not meet the documentation standards required for an effective RADV audit request. They may lack the thoroughness required to demonstrate the full clinical picture, making them less effective for audit purposes, especially in establishing risk adjustment eligibility based on specific healthcare needs.