Medical review

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Checklist: Annual wellness visit (AWV)

This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests for AWV. Health care providers retain responsibility to submit…

Checklist: Annual wellness visit (AWV)

This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests for AWV. Health care providers retain responsibility to submit…

Prior authorization (PA) for hospital outpatient department (OPD) services: tips and reminders

The following are tips and reminders that will assist providers in avoiding a delay or dismissal of a prior authorization request.

Prior authorization (PA) for hospital outpatient department (OPD) services: tips and reminders

The following are tips and reminders that will assist providers in avoiding a delay or dismissal of a prior authorization request.

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: Home health referrals

Medicare home health referrals must contain information in the medical record from the certifying physician and/or acute/post-acute care facility justifying the referral. Use this checklist to gain…

Checklist: Home health referrals

Medicare home health referrals must contain information in the medical record from the certifying physician and/or acute/post-acute care facility justifying the referral. Use this checklist to gain…

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.