Rituxan Checklist
Published 04/02/2019
Providers can use this checklist as an audit tool to help assure that they are submitting all documentation that is required to help prevent denials for Rituxan.
Rituxan | Yes | No | N/A |
---|---|---|---|
Is the documentation for the correct beneficiary? | |||
Are the dates of service correct? | |||
Is the physician’s order present? | |||
Is the physician’s order signed and dated? | |||
Does the order include the dosage, frequency and route? | |||
Is there relevant documentation to support the need for the medication? | |||
Is the diagnosis present in the documentation to support medical necessity? | |||
Does the unit(s) billed correspond with the number of unit(s) ordered/administered? | |||
Is the patient’s body surface area (BSA) included in the documentation? | |||
Was the protocol followed to administer this drug? | |||
Are coverage requirements met for medical necessity? | |||
Is documentation present to show the administration of the drug and how it was tolerated? |