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Medical documentation

News
more View the latest medical documentation news
more Target probe and educate (TPE) external link – View this video, presented by the Centers for Medicare & Medicaid Services (CMS), to learn more about the TPE process and help you identify and correct common errors on Medicare claims.
More
Signature
ADR (Additional documentation requests)
Find information and resources that will help you properly respond to additional documentation requests within required timeframes.
more ADR by fax FAQ
more ADR fax coversheet: Part A pdf file
more ADR fax coversheet: Part B pdf file
more ADR: Response time FAQ
more ADR timeliness calculator
more Timely response to ADRs
more Learn how to update your correspondence address to ensure you receive your ADRs
more ADR response using secure messaging in SPOT. Scroll down to the Submission guidelines: ADR form section for guidance on how to respond to your ADR request online.
More
Medical documentation checklists
Use these checklists to ensure you have met medical documentation requirements based on specific services.
more General medical documentation checklist pdf file
more E/M checklist pdf file
more Ambulance transportation checklist pdf file
more Chiropractic services checklist pdf file
more Inpatient admissions checklist pdf file
more IRF documentation checklist pdf file
more Outpatient therapy and rehabilitation checklist pdf file
more Skilled Nursing Facility checklist pdf file
more Critical care checklist pdf file
more Drug testing checklist pdf file
more Hyperbaric oxygen (HBO) therapy checklist pdf file
more Psychotherapy services checklist pdf file
More
Signature requirements
Learn about signature requirements guidelines established by CMS as well as the importance of properly authenticating medical records.
more Signature requirements: Guidelines for authentication
more Signature requirements: FAQs
more Signature requirements: Signature logs
more Signature requirements: Guidelines for Medical Review flash file
more Signature requirements: ADR requests
more Complying with Medicare Signature Requirements fact sheet external pdf file
esMD
Learn information about the electronic submission of medical documentation (esMD) program and the benefits of participation.
more esMD program: Overview external link
more esMD program: CMS News external link
more esMD program: Provider FAQs external link
More
Prior authorization
more The process of prior authorization
more Prior authorization of non-emergent hyperbaric oxygen external link
more Prior authorization of repetitive scheduled non-emergent ambulance transport external link
More
PWK
Learn how PWK, the paperwork segment of the X12N version 5010, allows providers to submit medical documentation with their initial claim.
more How to submit medical documentation using PWK
New forms; required on and after April 1, 2018
• Medicare Part A fax/mail/esMD coversheet pdf file
• Medicare Part B fax/mail/esMD coversheet pdf file
more PWK fax/mail/esMD coversheet: Requirements
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Resources
Take advantage of these additional resources to gain a better understanding of medical documentation.
more Medical documentation FAQs
more Medical Documentation Requests (English) external link
more Medical Documentation Requests (Spanish) external link
more Medical Review
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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.
Part B