- Medical Review
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Medical Review Focus Areas
- Announcing Service Specific Post-Payment Audits of Hyperbaric Oxygen (HBO) Services for J6 A Regions: IL, WI, and MN
- Service Specific Post Payment Review of Darbepoetin Alfa Injection, 1 microgram (Non-ESRD Use)
- Announcing Service Specific Post-Payment Audits of Individual Psychotherapy Services for J6 A Regions: IL, WI and MN
- Skilled Nursing Facility Education Center
Skilled Nursing Facility Educational Center
As part of the effort to lower the SNF improper payment rate, CMS has initiated a five claim Skilled Nursing Facility Probe & Educate allowing for outreach to all Medicare billing SNFs in the country. Each MAC will be requesting a five claim sample from each SNF in their jurisdiction. After the claim sample has been reviewed the SNF will then be offered education to address any errors identified, helping them to avoid future claim denials and adjustments.
Although every reasonable effort has been made to assure the accuracy of the information, within these pages, at the time of publication, the Medicare Program is constantly changing, and each provider must remain abreast of the Medicare Program requirements. Please go directly to the source to view regulations and get guidance.
For a one-stop resource web page focused on the informational needs and interests of Medicare FFS skilled nursing facilities go to the CMS' Skilled Nursing Facility Educational Center.
Resources
For more information, please email your corresponding jurisdiction; Jurisdiction K or Jurisdiction 6.
Reviewed 6/26/2024
Targeted Probe and Educate Manual
The preferred method to submit Medical Records is NGSConnex
Visit our Contact Us page for other methods of submission
Targeted Probe and Educate Manual
The preferred method to submit Medical Records is NGSConnex:
Visit our Contact Us page for other methods of submission.
Targeted Probe and Educate Manual
The preferred method to submit Medical Records is NGSConnex:
Visit our Contact Us page for other methods of submission.
Targeted Probe and Educate Manual
The preferred method to submit Medical Records is NGSConnex:
Visit our Contact Us page for other methods of submission.
Targeted Probe and Educate Manual
The preferred method to submit Medical Records is NGSConnex:
Visit our Contact Us page for other methods of submission.
Targeted Probe and Educate Manual
The preferred method to submit Medical Records is NGSConnex:
Visit our Contact Us page for other methods of submission.
Targeted Probe and Educate Manual
The preferred method to submit Medical Records is NGSConnex:
Visit our Contact Us page for other methods of submission.
Targeted Probe and Educate Manual
The preferred method to submit Medical Records is NGSConnex:
Visit our Contact Us page for other methods of submission.