Medical review

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Signature requirements: Guidelines for authentication of Medicare services

Medicare requires that medical record entries for services provided/ordered/certified be authenticated by the persons responsible for the care of the beneficiary in accordance with Medicare’s…

Submit medical review documentation electronically

Are you sending hardcopy mail to submit your requests to First Coast? Did you know there are faster and easier ways to send your requests to us? Avoid the wait. Learn about the electronic options…

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

View targeted probe and educate (TPE) round results for wound care (CPT 11042 and 11045).

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

View targeted probe and educate (TPE) round results for wound care (CPT 11042 and 11045).

Checklist: Remote therapeutic monitoring (RTM)

Documentation checklist for remote therapeutic monitoring.

Checklist: Remote physiological monitoring (RPM)

Review this documentation checklist for remote physiological monitoring (RPM).

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

View TPE round results for psychotherapy services.

Repetitive scheduled non-emergent ambulance transport prior authorization request submission checklist

Repetitive scheduled non-emergent ambulance transport prior authorization request submission requires the following items to facilitate the processing of initial or resubmission requests.

Targeted Probe and Educate (TPE) Round results for Part A TTE

View these round results for transthoracic echocardiography (TTE).

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.