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Thank you for your interest in Missouri Hospice and Palliative Care Association. MHPCA is a state-wide non-profit organization dedicated to supporting and strengthening coordinated care for terminally ill Missourians and their families through the advancement of hospice and palliative care. Learn More >>
For Patients and Families
MHPCA offers a wide range of services and support to help you navigate through the process of selecting care and treatment for loved ones who are terminally ill. We believe the end of life can be a meaningful time for patients and their families and we want to help you find peace of mind in a qualified care provider. Click here to learn about the resources available to you.
For Healthcare Professionals
To enable you to provide the highest quality of care, MHPCA offers a wide range of information, research, educational events, and other important resources. Click here to learn more about what we offer to you the Healthcare Professional or click here to learn about the benefits of becoming an MHPCA member.
For Supporters
Are you interested in helping advance the mission of MHPCA? Click here to donate today.
You can
support this agency through Community Health Charities. They provide employees
the opportunity to support health organizations like ours by way of payroll
deduction contributions.
For the list of codes to support MHPCA at your work click here.
Hospice Shirts and Fleece Jackets for sale.
Find our office with your TomTom Device.
Information for Hospices:
OIG Hotline - 1-800-447-8477
Link to CAHABA Website (click here)
CMS Answers to Questions:
April 15, 2010
The Centers for Medicare & Medicaid Services (CMS) has issued new instructions to Medical Review related to signature requirements. For medical review purposes, Medicare requires that services provided/ordered be authenticated by the author. The method used shall be a hand written or an electronic signature. Stamp signatures are not acceptable.
If the signature is missing from an order, the order will be disregarded during the review of the claim. If the signature is missing from other medical documentation, the author of the entry will be offered the opportunity to submit an attestation statement to authenticate the service. Providers should not add late signatures to the medical record, but instead may make use of the attestation process. In order to be considered valid for Medicare medical review purposes, an attestation statement must be signed and dated by the author of the medical record entry and must contain sufficient information to identify the beneficiary.
If a signature is present, but is illegible, the author of the entry may submit either an attestation statement or a signature log.
A provider may choose to submit their attestation statement using the form Cahaba has developed. The “Sample Attestation Statement for Missing or Illegible Signatures” form can be found on our Web site on the “Medical Review” section or on Medicare Home Health and Hospice Forms Web page by clicking on Medical Review. Use of this particular form is not required; providers may choose to submit their attestation statement in any format that meets the requirements.
Cahaba Medical Review staff may contact providers related to missing or illegible signatures through a letter, a second additional development request (ADR) or a phone call. If a second ADR is issued, the ADR message (5ADR2) will direct providers to view the claim remarks where specific information regarding the signature(s) in question will be found. The provider must respond with the attestation statement or signature log within 20 days of the medical review contact or the document in question will not be considered during review.
When receiving any ADR from medical review, please take the time to go through the record and review for missing or illegible signatures. Sending an attestation statement or signature log with the initial ADR will prevent a second medical review contact and result in faster claim payment.
For additional information, refer to the CR 6698, which is available on the CMS Web site at: http://www.cms.gov/transmittals/downloads/R327PI.pdf Globe to indicate www link.
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