Medical review

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Cervical fusion with disc removal

Effective for dates of service July 1, 2021, and after, hospital outpatient department (HOPD) providers will need to obtain prior authorization (PA) for cervical fusion with disc removal if performed…

Cervical fusion with disc removal

Effective for dates of service July 1, 2021, and after, hospital outpatient department (HOPD) providers will need to obtain prior authorization (PA) for cervical fusion with disc removal if performed…

Signature requirements: Guidelines for authentication of Medicare services

CMS requires that any Medicare service provided or ordered must be authenticated by the author - the one who provided or ordered that service. This article outlines acceptable forms of authentication…

Signature requirements: Guidelines for authentication of Medicare services

CMS requires that any Medicare service provided or ordered must be authenticated by the author - the one who provided or ordered that service. This article outlines acceptable forms of authentication…

Targeted probe and educate (TPE) round results: Endovascular cardiac valve replacement and supplement procedure (DRG 266 & 267)

Review the top denial/partial denial reasons and high-level results from each round of DRG 226 and 267 TPE.

Targeted probe and educate (TPE) round results: Endovascular cardiac valve replacement and supplement procedure (DRG 266 & 267)

Review the top denial/partial denial reasons and high-level results from each round of DRG 226 and 267 TPE.

Signature guidelines: 20-day timeframe for additional documentation requests

When a medical reviewer contacts the provider requesting to submit an attestation statement or signature log to authenticate a medical record, the provider must submit the attestation statement or…

Signature guidelines: 20-day timeframe for additional documentation requests

When a medical reviewer contacts the provider requesting to submit an attestation statement or signature log to authenticate a medical record, the provider must submit the attestation statement or…

Signature requirement samples

Medicare signature requirements sample signature log and sample signature attestation statement.

Signature requirement samples

Medicare signature requirements sample signature log and sample signature attestation statement.