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Medical review

Modified: 7/1/2022
View this updated listing of targeted probe and educate (TPE) review topics.
Modified: 5/22/2022
First Coast Service Options (First Coast), frequently requires a clinical review of records to determine the medical necessity of services.
Modified: 5/19/2022
View these current post-payment service-specific reviews and available results.
Modified: 10/12/2021
TPE Targeted Probe and Educate
Modified: 11/6/2020
Medical review of claims helps to ensure that Medicare pays for services that are covered, correctly coded, and medically reasonable and necessary.
Modified: 2/1/2019
The Centers for Medicare & Medicaid Services (CMS) has now authorized First Coast Service Options (First Coast) to conduct reviews utilizing a TPE review process.
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.