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Complying with medical record documentation requirements
Last Modified: 7/11/2022
Location: FL, PR, USVI
Business: Part A, Part B
A fact sheet was developed by the Medicare Learning Network (MLN), in conjunction with the Comprehensive Error Rate Testing (CERT) Part A and Part B (A/B) and Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC) Outreach & Education Task Forces, to provide nationally-consistent education on topics of interest to health care professionals. It is designed to help providers understand how to provide accurate and supportive medical record documentation.
This fact sheet discusses the following:
• Third-party additional documentation requests
• Insufficient documentation errors
1. Vertebral Augmentation procedures
2. Physical therapy services
3. Evaluation and management services
4. DME
5. Computed tomography scans
6. Resources
First Coast Service Options Inc. (First Coast) encourages providers to review
MLN Matters fact sheet 
to learn more about reducing medical documentation errors.
Source: MLN ICN 909160
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.
