When our FI requests a review they include a list of the records they require.
Basically they need all the records from the hospital, including the discharge
summary,MD certification,MD orders, Progress notes,all Rehab records,[ including time
log sheets],Admission records, labs,any consults,Nurse's progress notes,and of course
all MDS's that cover the period of review. Make sure to send records that cover the
lookback periods on all sections of the MDS[ie; up to 30 days where appropriate]. Also
send notes from dietary, SS,MAR's TAR's and anything that reflects an entry on the
MDS. Better to send too much than too little.Our FI also requests the written notice
of denial to the Beneficiay. Hope this helps.
Amanda Roth, RN,C RAC-C
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