This form is a helpful resource to support having appropriate systems in place to verify that the information you need is always readily available for future audits. Any or all of these components, such as steps to access the Medicare benefit, protocol implementation and claims processing key fields may be reviewed in an audit.
This form helps prompt you to consistently consider these items before or as you provide MNT services.
Please note: Please confirm all purchases before you complete them as all sales of this product are final. Upon completion of your order, a link to access your purchase will be sent to the email address you have on file with the Academy. Please be sure your email address is accurate before submitting your order. If you have difficulty with your purchase, please contact email@example.com. Thank you.