Medical review
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.
Service-specific reviews
View these current post-payment service-specific reviews and available results.
Checklist: Evaluation and management (E/M) services documentation
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for E/M services (on or after January 1, 2023, for office/…
Post-payment service-specific reviews
Medical review of claims helps to ensure that Medicare pays for services that are covered, correctly coded, and medically reasonable and necessary.
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: Endovascular cardiac valve replacement and supplement procedures
This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for endovascular cardiac valve replacement and supplement procedures (DRG 266…
Checklist: Critical care
This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for critical care services.
Checklist: Major hip and knee joint replacement or reattachment of lower extremity
This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for major hip and knee joint replacement or reattachment of lower extremity (…
Checklist: Application of skin substitutes
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for skin substitutes. Health care providers retain the…
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.