Medical Review

Medical Review (MR) Overview - View MR's primary mission, plan and philosophy.

Documentation Requirements - View reference guides for submitting documentation to Medicare.

Frequently Asked Questions - View common MR related inquiries and the answers to them.

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 (TPE) - View information on the TPE pilot process.

Why Is My Claim Denied? - How to access narrative detail reasons on reviewed claims.

Last Updated Sep 20, 2017

CPT and ADA End User License Agreement for Providers

NOTE: Should you have landed here as a result of a search engine (or other) link, be advised that these files contain material that is copyrighted by the American Medical Association. You are forbidden to download the files unless you read, agree to, and abide by the provisions of the copyright statement. Read the copyright statement now and you will be linked back to here.

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