Medical documentation

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Physical therapy plan of care requirements

When billing for rehabilitation therapy services, there are some documentation requirements that must be met to comply with the reasonable and necessary definition.

Checklist: Surgical services - nail cutting/paring and debridement

This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests for nail cutting / paring and debridement services.

Checklist: Surgical services - nail cutting/paring and debridement

This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests for nail cutting / paring and debridement services.

Checklist: Inpatient rehabilitation facility (IRF) documentation

This checklist is intended as reference to use when responding to medical documentation requests for IRF services.

Checklist: Inpatient rehabilitation facility (IRF) documentation

This checklist is intended as reference to use when responding to medical documentation requests for IRF services.

ADR (Additional documentation requests)

Find information and resources that will help you properly respond to additional documentation requests within required timeframes.

ADR (Additional documentation requests)

Find information and resources that will help you properly respond to additional documentation requests within required timeframes.

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…

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…

Medical documentation checklists

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