Medical documentation checklists
Use these checklists to ensure you have met medical documentation requirements based on specific services.
Articles
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Ambulatory Surgical Center Prior Authorization Request Submission Guidelines
View these submission guidelines for ASC prior authorization requests.
Prior Authorization Program for Certain Hospital Outpatient Department Services
CMS implemented a prior authorization program for certain hospital outpatient department services for dates of service on or...
Documentation Requirements to Support Medical Necessity for Inpatient Rehabilitation Facility Stay
First Coast has compiled a list of questions on specific topics that are listed in the CMS IRF RCD Medical Records Review...
Prior Authorization Demonstration for Certain Ambulatory Surgical Center Services
CMS is implementing a five-year demonstration project for the prior authorization of certain services provided in Ambulatory...
Ambulatory Surgical Center Prior Authorization Claim Submission Guidelines
Prior authorization (PA) for the ASC prior authorization demonstration is voluntary. However, if a provider elects to bypass PA...
Exercise of Enforcement Discretion for the Initial Implementation of the Mandatory Initial IDT Meeting Requirement for IRFs Through March 31, 2027
CMS is exercising enforcement discretion on the four-day initial IDT meeting requirement from October 1, 2026, through March 31...
Inpatient rehabilitation facility (IRF) coverage, documentation requirements and common errors
Read about policy changes finalized in the FY 2027 Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS)...
Checklist: Remote therapeutic monitoring (RTM)
Documentation checklist for remote therapeutic monitoring.
Medical Review Overview
Learn how the Medical Review program helps ensure claims are paid correctly.