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Puerto Rico POE-AG minutes - March 19, 2025

May 12, 2026
Review the minutes of the Puerto Rico Provider Outreach and Education meeting minutes (POE-AG) from Part A/B

Targeted probe and educate (TPE) round results: Wound debridement (CPT 11042-11045)

May 14, 2026
Review the top denial/partial denial reasons and high-level results of wound debridement (CPT 11042-11045) TPE round results for December 2022 - May 2023.

Checklist: Chiropractic services documentation

May 1, 2026
This checklist is an aid to assist providers with responding to medical record documentation requests.

Checklist: Nursing home

May 1, 2026
This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for nursing home services.

Checklist: Critical care service

April 30, 2026
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for critical care services.

Checklist: Hyperbaric oxygen (HBO) therapy documentation

April 30, 2026
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for hyperbaric oxygen (HBO) therapy services.

Checklist: Diagnostic radiology

April 30, 2026
This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests pertaining to diagnostic radiology.

Checklist: Evaluation and management (E/M) services

April 30, 2026
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for evaluation and management (E&M) services (on or after January 1, 2023).

Checklist: Application of skin substitutes

April 30, 2026
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for Application of skin substitutes. It is not intended to replace the published guidelines. Health ca…

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

May 6, 2026
View TPE round results for drugs and biologicals (HCPCS J7318-J7329, J7331-J7332).
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