An ebilling document warning in the claims tab is to identify the missing required Medicare documentation in order to submit the claim for billing.
Document Warnings:
- Start of Care Documentation: Informed Consent/Benefit Election
- CTIS: Written Medical Director Certification (this is your internal MD)
- Attending Physician Written Certification (the AP your patient chose- if applicable)
- Face to Face ( Can be performed by the MD or NP)
- Written Medical Director Recertification (this is your internal MD)
Check out: ebilling document warnings
Sources of certification.
(1) For the initial 90-day period, the hospice must obtain written certification statements (and oral certification statements if required under paragraph (a)(3) of this section) from—
(i) The medical director of the hospice or the physician member of the hospice interdisciplinary group; and
(ii) The individual's attending physician, if the individual has an attending physician. The attending physician must meet the definition of physician specified in § 410.20 of this subchapter.
(2) For subsequent periods, the only requirement is certification by one of the physicians listed in paragraph (c)(1)(i) of this section.
Applicable Help Guides:
Initial Certification Dashboard
External Resources:
eCFR :: 42 CFR Part 418 -- Hospice Care