Medical documentation

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Checklist: Chemotherapy, drugs, biologicals, and injection services

This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for chemotherapy, drugs, biologicals, and injection services.

Checklist: Major hip and knee joint replacement or reattachment of lower extremity

This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for major hip and knee joint replacement or reattachment of lower extremity (…

Checklist: Evaluation and management (E/M) services documentation

This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for E/M services (on or after January 1, 2023, for office/…

Checklist: Evaluation and management (E/M) services documentation

This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for E/M services (on or after January 1, 2023, for office/…

Checklist: Critical care

This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for critical care services.

Checklist: Critical care

This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for critical care services.

Checklist: Nursing home

This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for nursing home services.

Checklist: Clinical labs

This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests pertaining to clinical lab drug testing. Health care providers…

Checklist: Psychotherapy services

This checklist is an aid to assist providers with documentation pertaining to psychotherapy services.

Checklist: Psychotherapy services

This checklist is an aid to assist providers with documentation pertaining to psychotherapy services.