Medical Review (MR) Overview - View MR's primary mission, plan and philosophy.
Cross Recovery - Learn about possible recoupment of related claims.
Documentation Requirements - View reference guides for submitting documentation to Medicare.
Frequently Asked Questions - View MR's most commonly asked questions.
How Do I Check DDE for My ADRs? - Learn how to monitor ADRs through DDE. We encourage providers to do this weekly.
How Do I Submit My ADRs? - Learn about the ADR process and how to submit your requested documentation.
- Current - View current pre-payment service specific reviews.
- Completed - View completed pre-payment service specific reviews.
Targeted Probe & Educate - View information on the TPE pilot process.
Why is My Claim Denied? - How to access narrative detail reasons on reviewed claims.
Last Updated Jun 30, 2017
CPT and ADA End User License Agreement for Providers
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CPT codes, descriptors and other data only are copyright 2016 American Medical Association (or such other date of publication of CPT). All Rights Reserved. Applicable FARS/DFARS apply.
Last Updated May 16, 2017