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Medical documentation checklists

Checklist: Surgical servicespdf file
Modified: 4/15/2019
This checklist is an aid to assist providers when responding to medical record documentation requests pertaining to Surgical services.
Checklist: Chiropractic services documentationpdf file
Modified: 4/10/2019
This checklist is an aid to assist providers with responding to medical record documentation requests.
Checklist: IRF documentation pdf file
Modified: 4/10/2019
This checklist is an aid to assist inpatient rehabilitation facilities (IRFs) when responding to medical record documentation requests.
IRF documentation checklist
Modified: 4/10/2019
This checklist is being provided as a documentation guide to assist inpatient rehabilitation facilities (IRFs) when responding to requests for medical documentation.
Skilled nursing facility checklist
Modified: 4/10/2019
This checklist is an aid to assist providers with responding to skilled nursing facility documentation requests.
Checklist: Critical Carepdf file
Modified: 4/4/2019
This checklist is an aid to assist providers with documentation pertaining to critical care services.
Checklist: Psychotherapy Servicespdf file
Modified: 4/2/2019
This checklist is an aid to assist providers with documentation pertaining to Psychotherapy services.
Checklist: Diagnostic test servicespdf file
Modified: 3/28/2019
This checklist is an aid to assist providers when responding to medical record documentation requests pertaining to Diagnostic test services.
Checklist: Responding to requests for medical documentationpdf file
Modified: 3/14/2019
This checklist is an aid to assist providers with responding to medical record documentation requests.
Checklist: Inpatient admission documentationpdf file
Modified: 2/28/2019
This checklist is an aid to assist providers with responding to medical record documentation requests.
Checklist: Hyperbaric oxygen (HBO) therapypdf file
Modified: 2/20/2019
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.
Checklist: Community Mental Health Centers (CMHC) or Partial Hospitalization Program (PHP)pdf file
Modified: 1/24/2019
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).
Ambulance transportation checklist
Modified: 1/23/2019
This checklist is an aid to assist providers with responding to medical record documentation requests.
E/M checklist
Modified: 1/23/2019
This checklist is an aid to assist providers when responding to medical record documentation requests pertaining to evaluation and management services.
Checklist: Chronic Carepdf file
Modified: 11/29/2018
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.
Checklist: Clinical Labspdf file
Modified: 11/29/2018
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.
Checklist: Drugs and Biologicalspdf file
Modified: 11/29/2018
This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests for Drugs and Biologicals.
Checklist: Outpatient therapy and rehabilitation servicespdf file
Modified: 11/29/2018
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.
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.