Medical review

Avoid negative impacts to your claims by providing medical records with your initial claim submission for the T codes listed below.

CMS annually updates the durable medical equipment prosthetics, orthotic, and supplies (DMEPOS) for DME MAC and Part B MAC jurisdictions list.

Learn how PWK, the paperwork segment of the X12N version 5010, allows providers to submit medical documentation with their initial claim.

Learn how PWK, the paperwork segment of the X12N version 5010, allows providers to submit medical documentation with their initial claim.

This questionnaire is intended to provide health care providers with a reference for use when screening a new patient for a SNF admission. This criteria is required to meet Medicare guidelines for a…

This questionnaire is intended to provide health care providers with a reference for use when screening a new patient for a SNF admission. This criteria is required to meet Medicare guidelines for a…

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

View this updated listing of targeted probe and educate (TPE) review topics.

View these round results for rehabilitation services outpatient.