Medical review activities
Service-specific reviews
First Coast is tasked with preventing inappropriate Medicare payments. One of the ways this is conducted...
Articles
Article Type
Category
Targeted probe and educate (TPE) round results: Skin substitute graft for treatment of DFU and VLU lower extremities (15271-15278)
View targeted probe and educate (TPE) round results for 15271-15278.
Targeted probe and educate (TPE) round results: Surgical services - cataract extraction (CPT 66982-66984)
View targeted probe and educate (TPE) for surgical services - cataract extraction (CPT 66982-66984).
Targeted probe and educate (TPE) round results: Rehabilitation services (CPT 97112, 97140, 97110, 97116, 97124, 97530)
View targeted probe and educate (TPE) round one results for rehabilitation services.
Targeted probe and educate (TPE) round results: Surgical services - endovascular revascularization (open or percutaneous, transcatheter) procedures (CPT 37229)
View targeted probe and educate (TPE) round one results for surgical services: endovascular revascularization (open or...
ADR (Additional documentation requests)
Find information and resources that will help you properly respond to additional documentation requests within required...
Targeted probe and educate (TPE) round results: End stage renal disease (ESRD) (CPT 90960)
View targeted probe and educate (TPE) round results for end stage renal disease (ESRD).
Skilled nursing facility (SNF) 5-claim probe and educate (P&E) round results
View this article to view the results for the SNF 5-claim probe and educate (P&E).
Targeted probe and educate (TPE) round results: Major hip and knee replacement (DRG 470)
Review the top denial / partial denial reasons and high-level results from each round of DRG 470 TPE.
Targeted probe and educate (TPE) round results: Evaluation and management services – emergency department visits
Review the top denial / partial denial reasons and high-level results of evaluation and management services – emergency...