Noridian JE Medical Record Review Results On August 31st, TPE medical record review results were posted on the Noridian JE ( link) and Noridian JF ( link) websites. Noridian Healthcare Solutions, LLC JE/JF MAC Noridian JE Medical Record Review Results This month NGS announced ( link) that they have developed this tool as a way to unnecessary prior authorization requests by exempt providers. J6/JK MAC Prior Authorization Exemption Status Inquiry Tool Alert In addition to CPT specific review results, First Coast provides a link to a documentation checklist to help providers when responding to medical documentation requests for therapy and rehabilitation services. JN MAC TPE Rehabilitation Services (Outpatient) Review Resultsįirst Coast recently published review results for outpatient rehabilitation services (CPT® 97110, 9710) ( link). During this session they will discuss an increase in CERT errors related to the “formal shared decision-making encounter using an evidence-based decision tool prior to implantation” as outlined in National Coverage Determination (NCD) 20.4. This month we provide medical review updates and educate resources from the Medicare Administrative Contractors (MACs) CGS Administrators, LLC J15 MAC Review of Implantable Automatic Defibrillator CERT Errors Education SessionĬGS is offering this education session on Monday September 26, 2022, from 10:00 AM – 11:00 AM CDT ( link). Monthly, our newsletter spotlights current review activities. MMP’s Protection Assessment Report (P.A.R.) combines current Medicare Fee-for-Service review targets (i.e., MAC, RAC, OIG) with hospital specific paid claims data made possible through a collaboration with RealTime Medicare Data (RTMD).
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