Targeted probe and educate (TPE) round results: End stage renal disease (ESRD) (CPT 90999)
Review the top denial / partial denial reasons and high-level results listed below from each round of JN ESRD TPE reviews.
Articles
Article Type
Category
Targeted probe and educate (TPE) round results: Inpatient rehabilitation facilities (IRF)
Review the targeted probe and educate (TPE) round results for inpatient rehabilitation facility (IRF).
Reporting requirements for a legal business name (LBN) change
Changes to the legal name or LBN must be reported to the Medicare contractor within 90 days. Review this article to learn more.
Allowing electronic submission of medically denied cancel claims
To determine if a claim was medically reviewed, providers should submit the requests correctly.
End stage renal disease (ESRD) billing reminders and quarterly updates
Review this article to view common billing errors and how to review quarterly ESRD updates.
How do I voluntarily terminate or deactivate my Medicare enrollment?
Submit the applicable CMS-855 application to voluntarily terminate your Medicare enrollment or to deactivate your reassignment...
View NCDs
CMS develops NCDs to describe circumstances for Medicare coverage nationwide for an item or service. NCDs generally outline the...
Resolve claim return reason code 34963 for outpatient therapy services
Are you providing outpatient therapy services on institutional claims and receiving reason code 34963 indicating the attending...
Fast facts: Appealing a CERT review decision
The Comprehensive Error Rate Testing (CERT) review contractor conducts a medical review of randomly sampled post-payment claims...