Post-Payment Review for Smoking and Tobacco-Use Cessation Counseling Services

12.6 - Post-Payment Review for Smoking and Tobacco-Use Cessation Counseling Services (Rev.3848, Issued: 08- 25-17, Effective: 09-26-17, Implementation: 09- 26-17) As with any claim, Medicare may decide to conduct post-payment reviews to determine that the services provided are consistent with coverage instructions. Providers must keep patient record information on file for each Medicare patient for whom a counseling claim is made. These medical records can be used in any post-payment reviews and must include standard information along with sufficient patient histories to allow determination that the steps required in the coverage instructions were followed.