Search results
Filter by type
Line of business
Category
Filter by date
100 of 115 results
View this article to view the results for the SNF 5-claim probe and educate (P&E).
Review the top denial / partial denial reasons and high-level results listed below from each round of JN ESRD TPE reviews.
View targeted probe and educate (TPE) round results for end stage renal disease (ESRD).
View this updated listing of targeted probe and educate (TPE) review topics.
Review the top denial / partial denial reasons and high-level results of evaluation and management services – emergency department visits TPE round results.
Review the top denial / partial denial reasons and high-level results from each round of DRG 470 TPE.
Prior authorization is a process through which coverage is determined prior to providing or billing the service. This process allows the provider to submit documentation prior to providing or billing the service. The contractor will then al…
The following document was developed based on questions and answers posed during our webinars on the prior authorization (PA) program for certain hospital outpatient department (OPD) services.
Find information and resources that will help you properly respond to additional documentation requests within required timeframes.
View targeted probe and educate (TPE) round one results for surgical services: endovascular revascularization (open or percutaneous, transcatheter) procedures CPT 37229 from October 2021 - April 2022.