Medical review
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…
Targeted probe and educate (TPE)
TPE is one process that a MAC can utilize when providers are selected by medical review.
Targeted probe and educate (TPE)
TPE is one process that a MAC can utilize when providers are selected by medical review.
Service-specific reviews
View these current post-payment service-specific reviews and available results.
Service-specific reviews
View these current post-payment service-specific reviews and available results.
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: 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 (…
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.
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: Inpatient admission documentation
This checklist is an aid to assist providers with responding to medical record documentation requests.