Pocket Card - Reference card for 6 qualifying conditions
6 Condition Diagnostic Checklist & Billing - Form that lists CMS' criteria for 6 condition certification and how to bill
Care Coordination Checklist & Billing - Form that lists CMS' criteria for the care coordination code and how to bill
Recommended Monitoring during Benefit Period - Lists recommended clinical monitoring of patients during the certification period
Comprehensive Exam & Detailed Note Form - We recommend using this form after a certification visit has been completed. This form meets comprehensive history, exam, and decision-making standards.