This article provides links to medical review topics being worked currently.
Prepayment review of CPT 99285
Follow up action due to high error rates for MS DRG 885 inpatient stays of 3+ days. [CMS internet-only manual (IOM)]
Data analysis pertaining to evaluation and management services indicates a high comprehensive error rate testing (CERT) error rate for E&M code 99214. [CMS internet-only manual (IOM)]
Ambulance services reviewed by Part B comprehensive error rate testing (CERT) for First Coast Service Options Inc. (First Coast) continue to have a high error rate. [CMS internet-only manual (IOM)]
First Coast Service Options (First Coast), frequently requires a clinical review of records to determine the medical necessity of services.
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