Medical Review (MR)

Documentation Requirements - View reference guides for submitting documentation to Medicare

How Do I Respond to an ADR? - Learn about the ADR process and how to submit requested documentation

MR FAQs - View frequently asked MR related inquiries and the answers to them

MR Overview - View the MR primary mission, plan and philosophy

Medical Documentation Signature Requirements - View signature requirement details

Order Authentication Requirements - View requirements as a condition of participation

Reviews (Noridian) - View current and completed Noridian pre-payment service specific reviews

Targeted Probe and Educate (TPE) - View information on the TPE pilot process

Who Reviewed My Claim? - View information to help providers determine which contractor reviewed a claim

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

Other Review Contractors - Multiple CMS contractors complete reviews of medical records. This includes Comprehensive Error Rate Testing (CERT) Contractor, Recovery Auditor (RA) Contractor, and many more. View details

Last Updated Jan 09, 2018

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