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List four examples where written documentation should be provided as a CMS-1500 claim attachment.

List four examples where written documentation should be provided as a CMS-1500 claim attachment.

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Answer #1

The following written documentation should be provided as a CMS-1500 claim attachment.

1. Medicaid's emergency transportation by life support ambulance.

2. Medicaid’s bill of inpatient/outpatient cases.

3. Service for inpatient (operation, surgery) medical cases.

4. Service for outpatient hospital visits and behavioral health visits.

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