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Medical documentation
Modified: 4/13/2012
Medical documentation gives you a starting point and basis for planning patient care.
Modified: 4/13/2012
Documentation helps to answer the questions of who, what, when, where, why, and how many.
Modified: 4/13/2012
This checklist is an aid to assist providers with responding to medical record documentation requests.
Modified: 4/5/2012
This fact sheet describes common denials related to signature requirements and includes information on the documentation needed to support a claim submitted to Medicare for medical services. [PERL 201104-34]
Modified: 3/27/2012
This simulation provides direction on requirements of the physician’s signature for all medical documentation.
Modified: 3/20/2012
This article provides a list of questions and answers to assist providers in this process and to alleviate current processing issues associated with Medicare’s electronic submission of medical documentation (esMD) pilot project.
Modified: 1/20/2012
This checklist is an aid to assist providers with responding to medical record documentation requests pertaining to outpatient therapy and rehabilitation services.
Modified: 7/30/2011
The Centers for Medicare & Medicaid Services’ (CMS) change request (CR) 6698 (Signature Guidelines for Medical Review Purposes) clarifies Medicare signature requirements for all medical record documentation subject to medical review.
Modified: 4/29/2011
The Centers for Medicare & Medicaid Services (CMS) requires that any Medicare service provided or ordered must be authenticated by the author -- the one who provided or ordered that service. This article outlines acceptable forms of authentication. [CR 6698]
Modified: 4/21/2011
This checklist is an aid to assist ambulance transport providers with responding to medical record documentation requests.
Modified: 2/21/2011
This checklist is an aid to assist providers with responding to medical record documentation requests.
Modified: 2/21/2011
This checklist is an aid to assist skilled nursing facilities with responding to medical record documentation requests.
Modified: 11/10/2010
This checklist is an aid to assist providers with responding to medical record documentation requests.
Modified: 5/5/2010
When a medical reviewer contacts the provider requesting to submit an attestation statement or signature log to authenticate a medical record, the provider must submit the attestation statement or signature log within 20-calendar days. [CR 6698]
