Subscribe to eNews Contact us / IVR

Search results

Filter by type

Line of business

Category

Filter by date

10 of 68 results

Checklist: Musculoskeletal system and connective tissue or procedures

This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for musculoskeletal system and connective tissue procedures (DRG 515, 516 and 517).

Checklist: Skin lesion removal

This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for wound care.

Targeted probe and educate (TPE) round results: Psychotherapy services (CPT 90832, 90834, 90837)

View TPE round results for psychotherapy services.

Targeted probe and educate (TPE) round results: Rehabilitation services outpatient (KX modifier)

View TPE round results for rehabilitation services outpatient (KX modifier).

Part A service-specific review -- (CPT 97110 therapeutic activities)

View this summary for outpatient rehabilitation services (August - November 2020).

Part A service-specific review - (CPT 97530 therapeutic activities)

View this summary for outpatient rehabilitation services (January through August 2021).

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

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: Critical care service

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

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

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