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Medical review

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Targeted probe and educate (TPE) topics and schedule of review

View this updated listing of targeted probe and educate (TPE) review topics.

Targeted probe and educate (TPE) topics and schedule of review

View this updated listing of targeted probe and educate (TPE) review topics.

Targeted probe and educate round results: Annual wellness visits (AWV)

Targeted probe and educate round results: Annual wellness visits (AWV)

Medical review activities

Service-specific reviews

Hospital outpatient department (OPD) prior authorization (PA) exemption process reminders

Hospital outpatient departments that qualify for an exempt status effective January 1, need to have at least 10 claims submitted and finalized.

Medical review activities

Service-specific reviews

Hospital outpatient department (OPD) prior authorization (PA) exemption process reminders

Hospital outpatient departments that qualify for an exempt status effective January 1, need to have at least 10 claims submitted and finalized.

Targeted probe and educate (TPE) round results: Ambulance services - basic life support non-emergent transport and mileage (HCPCS A0428 and A0425)

View targeted probe and educate (TPE) round results for ambulance services: basic life support non-emergent transport and mileage (HCPCS A0428 and A0425).

Targeted probe and educate (TPE) round results: Ambulance services - basic life support non-emergent transport and mileage (HCPCS A0428 and A0425)

View targeted probe and educate (TPE) round results for ambulance services: basic life support non-emergent transport and mileage (HCPCS A0428 and A0425).