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Checklist: Therapeutic radiation-radiology services documentation

May 14, 2026
This checklist is intended to provide healthcare providers with a reference for use when responding to medical documentation requests for therapeutic radiation services.

Skilled nursing facility (SNF) 5-claim probe and educate (P&E) review

March 18, 2026
View this article for information concerning requirements of change request 13164.

Checklist: Aftercare, musculoskeletal system and connective tissue

May 4, 2026
This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for aftercare, musculoskeletal system and connective tissue (DRG 559, 560 and 561) services.

Checklist: Cardiac defibrillator implant w/o cardiac cath

May 14, 2026
This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for cardiac defibrillator implant w/o cardiac cath (DRG 226 and 227) services.

Checklist: Endovascular cardiac valve replacement and supplement procedures

April 30, 2026
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for endovascular cardiac valve replacement and supplement procedure (DRG 266 and 267).

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

May 14, 2026
View targeted probe and educate (TPE) round results for wound care (CPT 11042 and 11045).

Targeted probe and educate (TPE)

March 18, 2026
TPE is one process that a MAC can utilize when providers are selected by medical review.

Service-specific reviews

December 23, 2025
View these current post-payment service-specific reviews and available results.

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

December 23, 2025
View TPE round results for wound debridement (CPT 11102-11103, 11200-11201, 11300-11303, 11305-11313 and 11401-11406, 11421-11424, 11426, 11440-11446).

Checklist: Major hip and knee joint replacement or reattachment of lower extremity

April 30, 2026
This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for major hip and knee joint replacement or reattachment of lower extremity (DRG 469 and 470) services.
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