Pre-payment Review

View current pre-payment specific service specific review notifications, required documentation, resources used in reviews and current findings. For questions, concerns or to obtain specific results for your facility, follow the instructions on our Request My Results from Medical Review webpage.

At this time, Jurisdiction E does not have any active pre-payment service specific reviews except for SNF Demand Bill Mandate as CMS has authorized Jurisdiction E to conduct the Targeted Probe and Educate (TPE) review process. View the Targeted Probe & Educate webpage for complete details.

Skilled Nursing Facility (SNF)

Review Criteria Service Specific Review Notification Current Review Results
SNF Demand with TOB 21x, Condition Code 20
CA, NV, HI and Territories


Last Updated Dec 09 , 2023

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