Medical review

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Targeted probe and educate (TPE) round results: Evaluation and management services – initial and subsequent inpatient care visits

Review the top denial / partial denial reasons and high-level results of evaluation and management services - initial inpatient care visits and subsequent inpatient care visits TPE round results.

Targeted probe and educate (TPE) round results: Wound care (CPT 11042 and 11045)

View targeted probe and educate (TPE) round results for wound care (CPT 11042 and 11045).

Targeted probe and educate (TPE) round results: Evaluation and management services – initial and subsequent inpatient care visits

Review the top denial / partial denial reasons and high-level results of evaluation and management services - initial inpatient care visits and subsequent inpatient care visits TPE round results.

Targeted probe and educate (TPE) round results: Wound care (CPT 11042 and 11045)

View targeted probe and educate (TPE) round results for wound care (CPT 11042 and 11045).

Targeted probe and educate (TPE) round results: Drugs and biologicals (HCPCS J7318-J7329, J7331-J7332)

View TPE round results for drugs and biologicals (HCPCS J7318-J7329, J7331-J7332).

Targeted probe and educate (TPE) round results: Drugs and biologicals (HCPCS J7318-J7329, J7331-J7332)

View TPE round results for drugs and biologicals (HCPCS J7318-J7329, J7331-J7332).

Checklist: Aftercare, musculoskeletal system and connective tissue

This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for aftercare, musculoskeletal system and connective tissue (DRG 559, 560 and…

Checklist: Aftercare, musculoskeletal system and connective tissue

This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for aftercare, musculoskeletal system and connective tissue (DRG 559, 560 and…

Checklist: Cardiac defibrillator implant w/o cardiac cath

This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for cardiac defibrillator implant w/o cardiac cath (DRG 226 and 227) services.

Checklist: Inpatient admission documentation

This checklist is an aid to assist providers with responding to medical record documentation requests.