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Medical Review and Education | CMS - Centers for …

    https://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/Medical-Review
    To prevent improper payments and protect the Medicare Trust Fund, Medicare contractors operate the medical review program. Medical reviews involve the collection and clinical review of medical records and related information to ensure that …

Overview of Medical Review - CGS Medicare

    https://www.cgsmedicare.com/hhh/medreview/overview.html
    Overview of Medical Review. Medicare Program Integrity Manual (CMS Pub. 100-08), Ch. 3. The Medical Review (MR) Program is designed to promote a …

Medical Review Overview - Novitas Solutions

    https://www.novitas-solutions.com/webcenter/portal/MedicareJL/pagebyid?contentId=00008237
    Medical Review is an essential part of the Medicare Integrity Program. Primarily, Medical Review processes focus on identification of aberrancies or patterns of …

Medicare Claim Review Programs - Centers for …

    https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/MCRP-Booklet-Text-Only.pdf
    sampled claim. CERT performs a complex medical review of the claim and the supporting documentation to determine whether the claim was paid appropriately according to …

Jurisdiction J Part B - Medical Review - Palmetto GBA

    https://www.palmettogba.com/palmetto/jjb.nsf/T/Medical%20Review
    Medical review is the collection of information and clinical review of medical records by Palmetto GBA to ensure that payment is made only for services that meet all …

Medicare Coverage Determination Process | CMS

    https://www.cms.gov/Medicare/Coverage/DeterminationProcess
    Current. On Wednesday, August 7, 2013, the Centers for Medicare & Medicaid Services (CMS) published a Federal Register notice, (78 FR 48164-69), updating the process used …

Medicare Coverage Guidance Documents | CMS

    https://www.cms.gov/Medicare/Coverage/DeterminationProcess/Medicare-Coverage-Guidance-Documents-
    The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 requires that the Secretary make available to the public the factors that are …

Local Coverage Determinations | CMS - Centers for …

    https://www.cms.gov/Medicare/Coverage/DeterminationProcess/LCDs
    Feb 17, 2023

LOCAL MEDICAL REVIEW POLICY (LMRP) - AAPC

    https://www.aapc.com/medicalcodingglossary/local_medical_review_policy_(lmrp).aspx
    Reviewing Local Medical Review Policies assists in understanding why Medicare claims may be paid or denied. For a full description of the process and criteria used in …

LCDs / Medical Policies

    https://www.cgsmedicare.com/partb/medicalpolicy/index.html
    Feb 16, 2023



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