ESRD (end-stage renal disease) PPS (prospective payment system) low volume payment adjustment instructions for yearly attestations
This outlines the ESRD PPS LVPA instructions for yearly attestations.
Targeted probe and educate (TPE) round results: Skilled nursing facility (SNF)
Review the top denial / partial denial reasons and high-level results of SNF TPE round results.
Targeted probe and educate (TPE) round results: Inpatient rehabilitation facilities (IRF)
Review the targeted probe and educate (TPE) round results for inpatient rehabilitation facility (IRF).
Targeted probe and educate (TPE) round results: Evaluation and management services - outpatient established office visits
View TPE round results for evaluation and management services - outpatient established office visits.
Targeted probe and educate (TPE) round results: Rehabilitation services outpatient
View these round results for rehabilitation services outpatient.
Post-payment service-specific reviews
Medical review of claims helps to ensure that Medicare pays for services that are covered, correctly coded, and medically...
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...
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...
Service-specific reviews
View these current post-payment service-specific reviews and available results.
Targeted probe and educate (TPE)
TPE is one process that a MAC can utilize when providers are selected by medical review.