Documentation Management can include multiple layers of intricate policies and processes, with the end result being documents that are shared, organized, stored, and retrieved efficiently for consistency in responding to audits and maintaining accurate medical records. The Review Choice Demonstration (RCD) requires the Medicare MAC detail review certain components of the medical record that can lead to denials if the agency is missing the mark. Targeted Probe and Educate (TPE) includes a sample of claims being reviewed for full compliance with Medicare regulation and can lead to denials and eventually to a focused review. Agencies must simplify, but ensure that processes are in place to collect the paperwork that meets all Medicare requirements, but does so in a timely manner. Internal reviews of said documentation must be efficient and effective.