These checklists are intended to provide healthcare providers with a reference for use when responding to CERT documentation requests for the selected claim sample. It is not intended to replace any guidelines from CMS. Healthcare providers retain responsibility to submit complete and accurate documentation upon request to Medicare. Checklists covering additional topics are available on the CERT C3HUB website under the Documentation Request Listings link.
Topic
Checklist
Ambulance
Documentation checklist
Chemotherapy drugs, biologicals, and injection services
Chiropractic
Chronic care management
Critical care
Laboratory services
Nursing home visit
Rehabilitation services: Outpatient physical and occupational therapy
Evaluation and management (E/M) services
Psychiatric services: Psychotherapy