Medical review

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Targeted probe and educate (TPE) round results: Wound debridement

View TPE round results for wound debridement (CPT 11102-11103, 11200-11201, 11300-11303, 11305-11313 and 11401-11406, 11421-11424, 11426, 11440-11446).

Targeted probe and educate (TPE) round results: Drugs and biologicals (HCPCS J7318-J7329, J7331-J7332)

View TPE round results for drugs and biologicals (HCPCS J7318-J7329, J7331-J7332).

Targeted probe and educate (TPE) round results: Drugs and biologicals (HCPCS J7318-J7329, J7331-J7332)

View TPE round results for drugs and biologicals (HCPCS J7318-J7329, J7331-J7332).

Checklist: Skilled nursing facility (SNF) documentation

This checklist is an aid to assist skilled nursing facilities with responding to medical record documentation requests.

Prior authorization program for repetitive, scheduled non-emergent ambulance transports (RSNAT)

CMS has implemented the prior authorization program for certain repetitive, scheduled non-emergent ambulance transports in Florida, Puerto Rico and the US Virgin Islands. Learn more about the program…

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).

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…