Focused Medical Review

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Medical staff: What should trigger a focused review?

https://www.reliasmedia.com/articles/107080-medical-staff-what-should-trigger-a-focused-review

Several hospitals have determined that, based on a review of a practitioner's individual cases over a period of time, those triggers can include any number of factors, …

Focused Professional Practice Evaluation (FPPE)

https://www.jointcommission.org/standards/standard-faqs/critical-access-hospital/medical-staff-ms/000001485/

The Focused Professional Practice Evaluation (FPPE) is a process whereby the medical staff evaluates the privilege-specific competence of the practitioner that lacks …

How to Conduct a Medical Record Review - NCHA

https://www.ncha.org/wp-content/uploads/2018/11/ACDIS-White-Paper-How-to-Review-a-Medical-Record_2018.pdf

How to Conduct a Medical Record Review Appropriate reimbursement comes from the review’s capture of severity, clinical validation, coding accuracy, medical necessity, and …

Focused Review: What It Is and How to Get …

https://atinursingblog.com/focused-review-what-it-is-and-how-to-get-the-most-out-of-it/

A Focused Review is a personalized study plan that is designed to help you address gaps in your knowledge and improve your grasp on the material that …

Focused Medical Review Letters < Yale School of Medicine

https://medicine.yale.edu/news-article/focused-medical-review-letters/

January 01, 2000. Our Part B Medicare carrier, United Healthcare, is in the process of conducting their annual focused medical review activity. UnitedHealthcare …

Medical Review and Education | CMS

https://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/Medical-Review

Medical Review and Education. To prevent improper payments and protect the Medicare Trust Fund, Medicare contractors operate the medical review program. …

Focused Medical Review & ADR's | HealthWare

https://www.healthware.com/education/entry/10/focused-medical-review-and-adrs

Focused medical review processes Referral to the Benefit integrity group by the medical review teams Medicare home health has changed in many ways, OASIS-C, Face to …

EMT Review: Focused History and Physical Exam

http://emt-training.org/focused-history-physical-medical.php

EMT Review: Focused History and Physical Exam - Medical Patients Unresponsive medical patient Determine that the patient either is unresponsive or have altered mental …

Program Integrity - NPHI

https://www.hospiceinnovations.org/advocacy-strategic-initiatives/policy-recommendations/program-integrity/

Focused Medical Review for Outlier Programs: NPHI recommends a focused medical review of hospice programs with: Unusually high shares of patients with stays exceeding …

Focused Reviews - Office of Research Oversight - Veterans Affairs

https://www.va.gov/ORO/Focused_Reviews.asp

Typically, an ORO Focused Review will involve some combination of the following methodologies: interviewing facility leadership, research administrative staff, …

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