Triple Check

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1 – 4$22.00
5 +$20.85
SKU: 1457

Updated Triple Check form ensures that Medicare Part A and Part B claims are accurate and compliant with Patient Driven Payment Model (PDPM) reimbursement. 

This form guides the team through that verification process.  Individual resident record audit format validates ordered care was provided and documented as well as Advanced Beneficiary Notices (ABN) were provided as needed and PPS/MDS records were submitted and accepted prior to billing. 

Download a sample today!

    • Finished Size 11 x 8-1/2
    • Punched top & side
    • 100/pk

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