Medical review
Targeted probe and educate (TPE) round results: Major hip and knee replacement (DRG 470)
Review the top denial / partial denial reasons and high-level results from each round of DRG 470 TPE.
Targeted probe and educate (TPE) round results: Major hip and knee replacement (DRG 470)
Review the top denial / partial denial reasons and high-level results from each round of DRG 470 TPE.
Targeted probe and educate (TPE) round results: Endovascular cardiac valve replacement and supplement procedure (DRG 266 & 267)
Review the top denial/partial denial reasons and high-level results from each round of DRG 226 and 267 TPE.
Targeted probe and educate (TPE) round results: Endovascular cardiac valve replacement and supplement procedure (DRG 266 & 267)
Review the top denial/partial denial reasons and high-level results from each round of DRG 226 and 267 TPE.
Signature guidelines: 20-day timeframe for additional documentation requests
When a medical reviewer contacts the provider requesting to submit an attestation statement or signature log to authenticate a medical record, the provider must submit the attestation statement or…
Signature guidelines: 20-day timeframe for additional documentation requests
When a medical reviewer contacts the provider requesting to submit an attestation statement or signature log to authenticate a medical record, the provider must submit the attestation statement or…
Targeted probe and educate (TPE) round results: Surgical services - Mohs surgery (CPT 17311-17315)
View targeted probe and educate (TPE) round results: Surgical services - Mohs surgery (CPT 17311-17315).
Targeted probe and educate (TPE) round results: Surgical services - Mohs surgery (CPT 17311-17315)
View targeted probe and educate (TPE) round results: Surgical services - Mohs surgery (CPT 17311-17315).
Targeted probe and educate (TPE) round results: Drugs and biologicals (HCPCS J1569)
View targeted probe and educate (TPE) round results drugs and biologicals (HCPCS J1569).
Targeted probe and educate (TPE) round results: Drugs and biologicals (HCPCS J1569)
View targeted probe and educate (TPE) round results drugs and biologicals (HCPCS J1569).