Medical review
Signature requirements: Guidelines for authentication of Medicare services
CMS requires that any Medicare service provided or ordered must be authenticated by the author - the one who provided or ordered that service. This article outlines acceptable forms of authentication…
Targeted probe and educate (TPE) round results: Endovascular cardiac valve replacement and supplement procedure (DRG 266 & 267)
Review the top denial/partial denial reasons and high-level results from each round of DRG 226 and 267 TPE.
Targeted probe and educate (TPE) round results: Endovascular cardiac valve replacement and supplement procedure (DRG 266 & 267)
Review the top denial/partial denial reasons and high-level results from each round of DRG 226 and 267 TPE.
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: 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.
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…
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…