Overview of Required Documentation for Mycamine
Payers may require healthcare providers to submit medical documentation along with claims submitted for services rendered to a patient. Additionally, healthcare providers may be expected to maintain specific types of documentation in the patient's medical record to be submitted to the payer for review upon request.
Maintaining and submitting proper medical documentation, as required by a payer, is an important part of managing the reimbursement process and helping to secure appropriate payment for services rendered.
Below is a list of commonly requested medical documentation that may be requested when treating patients with Mycamine.
Common documentation on or with Mycamine claims submission
- ICD-9 diagnosis codes that document appropriate use of Mycamine
Common medical records documenting medical necessity for Mycamine
- Contraindication, intolerance, allergy, failure, or resistance to other antifungal medications
- Laboratory test results, such as liver and renal function tests or blood tests for hemolysis and anemia
- Prescription by or consultation with an appropriate specialist
- Drug lot number
- Date the drug was ordered, when it was received by the provider, and the date it was administered to the patient
