Instructions: The PFT report provided or PFT results referenced within the physical exam/medical records review does not provide the name of the facility that performed the PFTs. In order to resolve this deficiency, please submit a complete qualifying PFT report (with all trials and tracings) that identifies the name of the facility, or submit a signed "PFT Facility Verification" affidavit, which can be found on the Trust's website, verifying that the PFTs were not performed at a facility deemed unacceptable by the Trust.
Detail Text: The PFT report provided or PFT results referenced within the physical exam/medical records review does not provide the name of the facility that performed the PFTs. In order to resolve this deficiency, please submit a complete qualifying PFT report (with all trials and tracings) that identifies the name of the facility, or submit a signed "PFT Facility Verification" affidavit, which can be found on the Trust's website, verifying that the PFTs were not performed at a facility deemed unacceptable by the Trust.
