This checklist is an aid to assist providers when responding to medical record documentation requests pertaining to evaluation and management services.
Medicare home health referrals must contain information in the medical record from the certifying physician and/or acute/post-acute care facility justifying the referral. Use this checklist to gain an understanding of the criteria necessary for home health referrals.
This checklist is being provided as a documentation guide to assist inpatient rehabilitation facilities (IRFs) when responding to requests for medical documentation.
This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests pertaining to clinical lab drug testing. Health care providers retain responsibility to submit complete and accurate documentation.
This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests for Drugs and Biologicals.
This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests for hyperbaric oxygen (HBO) therapy services.
This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests for therapy and rehabilitation services.
This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests for Chronic Care Management (CCM) services.
This checklist is an aid to assist providers when responding to medical record documentation requests pertaining to Community Mental Health Centers (CMHC) or Partial Hospitalization Program (PHP).
This checklist is an aid to assist providers when responding to medical record documentation requests pertaining to Diagnostic test services.
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.
