Medical review

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Medical documentation checklists

Use the links on the left to access checklists to ensure you have met medical documentation requirements based on specific services.

Medical documentation checklists

Use the links on the left to access checklists to ensure you have met medical documentation requirements based on specific services.

Checklist: 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 community mental health centers (CMHC) or partial hospitalization program (PHP).

Checklist: Surgical services

This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests for surgery-revascularization procedures of lower extremity.

Checklist: Surgical services

This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests for surgery-revascularization procedures of lower extremity.

Checklist: Paravertebral facet joint injection services documentation

This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests for paravertebral facet joint injection services.

Checklist: Paravertebral facet joint injection services documentation

This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests for paravertebral facet joint injection services.

Facet joint interventions for pain management

Facet joint interventions may be used in pain management for chronic cervical/thoracic and lumbar/sacral pain arising from the paravertebral facet joints. Imaging guidance (fluoroscopy or CT per code…

Facet joint interventions for pain management

Facet joint interventions may be used in pain management for chronic cervical/thoracic and lumbar/sacral pain arising from the paravertebral facet joints. Imaging guidance (fluoroscopy or CT per code…

Signature guidelines: 20-day timeframe for additional documentation requests

When a medical reviewer contacts the provider requesting to submit an attestation statement or signature log to authenticate a medical record, the provider must submit the attestation statement or…