Medical review
Fast facts: CERT administrative relief during a disaster
Read this article for information about how CERT may grant temporary administrative relief to certain affected providers and suppliers during a disaster.
Medical necessity requirements for skilled nursing facility (SNF) admissions
This questionnaire is intended to provide health care providers with a reference for use when screening a new patient for a SNF admission. This criteria is required to meet Medicare guidelines for a…
Medical necessity requirements for skilled nursing facility (SNF) admissions
This questionnaire is intended to provide health care providers with a reference for use when screening a new patient for a SNF admission. This criteria is required to meet Medicare guidelines for a…
Targeted probe and educate (TPE) round results: Ambulance services - basic life support non-emergent transport and mileage (HCPCS A0428 and A0425)
View targeted probe and educate (TPE) round results for ambulance services: basic life support non-emergent transport and mileage (HCPCS A0428 and A0425).
Targeted probe and educate (TPE) round results: Ambulance services - basic life support non-emergent transport and mileage (HCPCS A0428 and A0425)
View targeted probe and educate (TPE) round results for ambulance services: basic life support non-emergent transport and mileage (HCPCS A0428 and A0425).
ADR (Additional documentation requests)
Find information and resources that will help you properly respond to additional documentation requests within required timeframes.