Medical review

Displaying 1 - 10 of 255

Targeted probe and educate (TPE) round results: Evaluation and management services - outpatient office visits

View TPE round results for evaluation and management services - outpatient office visits.

Targeted probe and educate (TPE) round results: Evaluation and management services - outpatient office visits

View TPE round results for evaluation and management services - outpatient office visits.

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

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

Targeted probe and educate (TPE) round results: Evaluation and management services – initial inpatient care visits and subsequent inpatient care visits

Review the top denial / partial denial reasons and high-level results of evaluation and management services - initial inpatient care visits and subsequent inpatient care visits TPE round results.

Targeted probe and educate (TPE) round results: Evaluation and management services – initial inpatient care visits and subsequent inpatient care visits

Review the top denial / partial denial reasons and high-level results of evaluation and management services - initial inpatient care visits and subsequent inpatient care visits TPE round results.

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

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

Documentation requirements to support medical necessity for Inpatient Rehabilitation Facility (IRF) stay

First Coast has compiled a list of questions on specific topics that are listed in the CMS IRF RCD Medical Records Review Checklist as well as the Code of Federal Regulations that providers can use…

Documentation requirements to support medical necessity for Inpatient Rehabilitation Facility (IRF) stay

First Coast has compiled a list of questions on specific topics that are listed in the CMS IRF RCD Medical Records Review Checklist as well as the Code of Federal Regulations that providers can use…

Payment issue affecting end stage renal dialysis services on type of bill 72X

Payment issue affecting end stage renal dialysis services on type of bill 72X.

Provider documentation tool for non-emergent ambulance transportation

This article is designed to assist medical providers with documenting the beneficiary’s medical condition supporting coverage for non-emergent ambulance transportation.