for Psychiatry

CMS Evaluation & Management Guidelines

Psychiatric Examination

Psych insurance_verification_form.doc

Outpatient Auth. Request (Optum Medi-Cal)

for General Use

​2024 Hardship Form
​financial_hardship_waiver_2024.doc

Sample face_sheet_and_policy_statement.doc

W-9 Form

Medicare ABN form med.noridianmedicare.com/web/jeb/forms#abn

Medicare Opt-Out Affidavit med.noridianmedicare.com/documents/10525/2052366/Opt-Out+Affidavit

Medicare Opt-Out Private Contract med.noridianmedicare.com/documents/10525/2052366/Opt-Out+Private+Contract

Jennifer Kirschenbaum - Attorney

CMS MACRA

for Telehealth

Telehealth Guidelines by State   www.fsmb.org/siteassets/advocacy/pdf/state-emergency-declarations-licensures-requirementscovid-19.pdf

FAQ on Medicare Coverage of Telehealth   www.kff.org/medicare/issue-brief/faqs-on-medicare-coverage-of-telehealth/

for Medicine

Transitional Care Management FAQ

CMS Evaluation & Management Guidelines

Sample Inpatient Charge Sheetinpatient_charge_sheet.xls