Medical review

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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).

Breakdown of Common Minimum Data Set (MDS) errors

The MDS is a tool used for implementing standardized assessment and for facilitating care management in skilled nursing homes and non-critical access hospital swing beds.

Breakdown of Common Minimum Data Set (MDS) errors

The MDS is a tool used for implementing standardized assessment and for facilitating care management in skilled nursing homes and non-critical access hospital swing beds.

Documentation requirements to support medical necessity for Inpatient Rehabilitation Facility (IRF) stay

First Coast has compiled a list of questions on specific topics that are listed in the CMS IRF RCD Medical Records Review Checklist as well as the Code of Federal Regulations that providers can use…

Documentation requirements to support medical necessity for Inpatient Rehabilitation Facility (IRF) stay

First Coast has compiled a list of questions on specific topics that are listed in the CMS IRF RCD Medical Records Review Checklist as well as the Code of Federal Regulations that providers can use…

Fast facts: CERT administrative relief during a disaster

Read this article for information about how CERT may grant temporary administrative relief to certain affected providers and suppliers during a disaster.

Fast facts: CERT administrative relief during a disaster

Read this article for information about how CERT may grant temporary administrative relief to certain affected providers and suppliers during a disaster.

Attention exempt hospital outpatient departments (OPDs): Revised additional documentation request (ADR) letters

Due to a claim issue identified, exempt hospital OPDs will be receiving a revised exemption ADR letter with a revised letter fax cover sheet.

Attention exempt hospital outpatient departments (OPDs): Revised additional documentation request (ADR) letters

Due to a claim issue identified, exempt hospital OPDs will be receiving a revised exemption ADR letter with a revised letter fax cover sheet.