Awareness : OBC Tips

Provider Compliance Tip for Ordering Hospital Outpatient Services

The following documentation is required for hospital outpatient services to be covered under the Medicare health benefit:

  1. Documentation that supports medical necessity of the outpatient service (e.g. physician’s office visit note, or progress note, etc.)
  2. A signed and dated physician’s order for the outpatient service
  3. Documentation showing that the service was rendered
  4.