Medical Review Documentation Compliance and Technology Contractor
Centers for Medicare & Medicaid Services
The Documentation Compliance Contractor (DCC) provides services that facilitate health care providers’ medical record documentation and Medicare contractors’ review of the documentation. DCC creates printable clinical templates and suggested clinical data elements (CDEs) that assist providers and IT professionals with data collection and medical record documentation compliance. These templates and CDEs are intended to be helpful guides in determining supported coverage of selected items and services. They are intended to help reduce the risk of claim denials and ensure that medical record documentation is more complete.
To download templates and CDEs, share feedback, and access additional resources, please visit the clinical templates web pages at CMS.gov: https://www.cms.gov/Research-Statistics-Data-and-Systems/Computer-Data-and-Systems/Electronic-Clinical-Templates/index.html