Medical review

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Checklist: Diagnostic-Related Group (DRG) Validation

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

Skilled nursing facility (SNF) 5-claim probe and educate (P&E) review

View this article for information concerning requirements of change request 13164.

Checklist: Chiropractic services documentation

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