SNF
Hospital discharge summary;
Hospital transfer referral form;
Social Service notes;
Physician’s admission history and physical notes;
Physician’s consultation report;
Physician’s orders;
Physician’s progress notes;
Nurse’s progress notes;
Rehabilitation records must include the initial evaluation, all reevaluations, plan of treatment, progress notes, and log/time sheets showing minutes of services rendered for physical, occupational, speech and/or nursing rehabilitation records, if applicable;
Signed hardcopy version of each Minimum Data Set (MDS), related to the billing period, along with medical records for 30 days prior to each assessment reference date applicable to the billing period;
Medical records through the end of the claim period(s) billed to support all services including the observation and look back period(s);
Medicare remittance advice.
If applicable include :
Provider’s written notice(s) of denial to the beneficiary and any reinstatement notice. Include dated verification that beneficiary or representative received notification or documentation that telephone contact was attempted.
Generic notice(s) and detailed notice(s) of expedited review process.