CMS now requires that "A formal shared decision making interaction with an independent non-interventional physician using an evidence-based decision tool on oral anticoagulation in patients with NVAF prior to LAAC. Additionally, the shared decision making interaction must be documented in the medical record." Click here for more information from CMS.
Therefore, the referring provider (NOT the implanting physician) should document this in the medical record: I have performed a shared decision making interaction with the patient using an evidence-based decision tool on oral anticoagulation.