Medical review
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.
Checklist: Inpatient admission documentation
This checklist is an aid to assist providers with responding to medical record documentation requests.