The dates and service codes provided will be cross-referenced with notes submitted in the EMR. Any information provided that does not have documentation completed, will not be compensated. Once documentation is submitted, compensation will be released during the next pay cycle.
Be sure to keep a copy of this service ticket for your reference.
By submitting this document, you attest that the information provided is accurate and true to the best of your abilities. Any information that is identified as misleading or untrue will be investigated and prosecuted to the fullest extent.