Medical review

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Service-specific reviews

View these current post-payment service-specific reviews and available results.

Service-specific reviews

View these current post-payment service-specific reviews and available results.

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

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 (…

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

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 (…

Post-payment service-specific reviews

Medical review of claims helps to ensure that Medicare pays for services that are covered, correctly coded, and medically reasonable and necessary.

Post-payment service-specific reviews

Medical review of claims helps to ensure that Medicare pays for services that are covered, correctly coded, and medically reasonable and necessary.

Checklist: Inpatient admission documentation

This checklist is an aid to assist providers with responding to medical record documentation requests.

Checklist: Inpatient admission documentation

This checklist is an aid to assist providers with responding to medical record documentation requests.

Checklist: Outpatient therapy and rehabilitation services

This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests for therapy and rehabilitation services.

Checklist: Outpatient therapy and rehabilitation services

This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests for therapy and rehabilitation services.