5CF70: Continuous Care Hours Not Documented

Reason for Denial 
The continuous care hours were denied as the documentation submitted for review did not include documentation of services provided for these hours.

How to Avoid This Denial
Ensure documentation for all hours billed is submitted. Documentation submitted for review should illustrate the following:

• The services provided, hour-by-hour and day-by-day;
• The beneficiary’s medical condition; and
• All disciplines providing the continuous care

Resources

• CMS Internet-Only Manuals (IOMs), Publication 100-02, Medicare Benefit Policy Manual, Chapter 9, Sections 10, 20.2 and 20.2.1  (PDF)
• CMS Internet-Only Manuals (IOMs), Publication 100-04, Medicare Claims Processing Manual, Chapter 11, Section 30.1 (PDF)