Medical review

Use these checklists to ensure you have met medical documentation requirements based on specific services.

Use these checklists to ensure you have met medical documentation requirements based on specific services.

Learn how the Medical Review program helps ensure claims are paid correctly.

Learn how the Medical Review program helps ensure claims are paid correctly.

Targeted probe and educate (TPE) is one process that a MAC can utilize when providers are selected by medical review. View this updated listing of Part A TPE review topics.

Targeted probe and educate (TPE) is one process that a MAC can utilize when providers are selected by medical review. View this updated listing of Part B TPE review topics.

Targeted probe and educate (TPE) is one process that a MAC can utilize when providers are selected by medical review. View this updated listing of Part B TPE review topics.

Review the top denial / partial denial reasons and high-level results of SNF targeted probe and educate (TPE) round results.

View these round results for rehabilitation services outpatient.

View targeted probe and educate (TPE) round results for evaluation and management services - outpatient office visits.