This article provides links to medical review topics being worked currently.
Follow up action due to high error rates for MS DRG 885 inpatient stays of 3+ days. [CMS internet-only manual (IOM)]
First Coast will implement a prepayment threshold audit for CPT code 99223 claims. [CMS internet-only manual (IOM)]
Prepayment review of CPT 99285
First Coast Service Options (First Coast), frequently requires a clinical review of records to determine the medical necessity of services.
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