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© 2021 Palmetto GBA, LLC

We frequently update our articles to reflect the latest changes and updates to Medicare, and strongly recommend you visit this article at link below to confirm you have the latest version.

Published Date:06/01/2016

Printed Date: 9/22/2015

URL: http://palmgba.com/marlowe/redesign6/article.html


Review Results

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Upon the completion of the service-specific review sample, the claim review findings are analyzed and appropriate corrective action is taken when providers are found to be non-compliant based on the Progressive Corrective Action (PCA) philosophy. You may view information regarding the results of completed service-specific reviews below.

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Latest Articles

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Widespread Review of ALS Emergency Ambulance Services: Third Quarter of FY 2019 11/26/2019
Widespread Review of BLS Non-Emergency Ambulance Services: Third Quarter of FY 2019 11/26/2019
Widespread Review of Diagnostic Radiology Chest X-Ray Services: Third Quarter of FY 2019 11/26/2019
Widespread Review of Evaluation/Management Claims for Critical Care: Third Quarter of FY 2019 11/26/2019
Widespread Review of Evaluation/Management Claims for Emergency Department Visits: Third Quarter of FY 2019 11/26/2019
Widespread Review of Evaluation/Management Claims for Initial Hospital Inpatient Care Services: Third Quarter of FY 2019 11/26/2019
Widespread Review of Evaluation/Management Claims for New Patient Office or Other Outpatient Services: Third Quarter of FY 2019 11/26/2019
Widespread Review of Evaluation/Management Claims for Subsequent Hospital Inpatient Care: Third Quarter of FY 2019 11/26/2019
Widespread Review of Evaluation/Management Claims of Subsequent Skilled Nursing Facility (SNF) Services: Third Quarter of FY 2019 11/26/2019
Widespread Review of Select Bone Mass Measurements (BMM) Services: Third Quarter of FY 2019 11/26/2019
Widespread Review of ALS Emergency Ambulance Services: Fourth Quarter of FY 2019 11/18/2019
Widespread Review of BLS Non-Emergency Ambulance Services: Fourth Quarter of FY 2019 11/18/2019
Widespread Review of Diagnostic Radiology Chest X-Ray Services: Fourth Quarter of FY 2019 11/18/2019
Widespread Review of Evaluation/Management Claims for Critical Care: Fourth Quarter of FY 2019 11/18/2019
Widespread Review of Evaluation/Management Claims for Emergency Department Visits: Fourth Quarter of FY 2019 11/18/2019
Widespread Review of Evaluation/Management Claims for Initial Hospital Inpatient Care Services: Fourth Quarter of FY 2019 11/18/2019
Widespread Review of Evaluation/Management Claims for New Patient Office or Other Outpatient Services: Fourth Quarter of FY 2019 11/18/2019
Widespread Review of Evaluation/Management Claims for Subsequent Hospital Inpatient Care: Fourth Quarter of FY 2019 11/18/2019
Widespread Review of Evaluation/Management Claims of Subsequent Skilled Nursing Facility (SNF) Services: Fourth Quarter of FY 2019 11/18/2019
Widespread Review of Select Bone Mass Measurements (BMM) Services: Fourth Quarter of FY 2019 11/18/2019
Widespread Review of Diagnostic Radiology Chest X-Ray Services: Second Quarter of FY 2019 05/14/2019
Widespread Review of Evaluation/Management Claims for Initial Hospital Inpatient Care Services: Second Quarter of FY 2019 05/14/2019
Widespread Review of Evaluation/Management Claims for New Patient Office or Other Outpatient Services: Second Quarter of FY 2019 05/14/2019
Widespread Review of Hyperkeratotic Lesion Debridement: Second Quarter of FY 2019 05/14/2019
Widespread Review of Select Bone Mass Measurements (BMM) Services: Second Quarter of FY 2019 05/14/2019
Widespread Review of ALS Emergency Ambulance Services: First Quarter of FY 2019 02/15/2019
Widespread Review of BLS Non- Emergency Ambulance Services: First Quarter of FY 2019 02/15/2019
Widespread Review of Evaluation/Management Claims for Subsequent Hospital Inpatient Care: First Quarter of FY 2019 02/15/2019
Widespread Review of Evaluation/Management Claims of Subsequent Skilled Nursing Facility (SNF) Services: First Quarter of FY 2019 02/15/2019
Widespread Review of Hyperkeratotic Lesion Debridement: First Quarter of FY 2019 02/15/2019
Widespread Review of Select Bone Mass Measurements (BMM) Services: First Quarter of FY 2019 02/15/2019
Widespread Review of BLS Non-Emergency Ambulance Services: Fourth Quarter of FY 2018 11/14/2018
Widespread Review of Diagnostic Radiology: Chest X-Ray Services: Fourth Quarter of FY 2018 11/14/2018
Widespread Review of Evaluation/Management Claims for Emergency Department Visit, with High Complexity Medical Decision Making: Fourth Quarter of FY 2018 11/14/2018
Widespread Review of Evaluation/Management Claims for Initial Hospital Inpatient Care Services: Fourth Quarter of FY 2018 11/14/2018
Widespread Review of Evaluation/Management Claims for New Patient Office or other Outpatient Services: Fourth Quarter of FY 2018 11/14/2018
Widespread Review of Evaluation/Management Claims for Subsequent Hospital Inpatient Care, Typically 25 Minutes: Fourth Quarter of FY 2018 11/14/2018
Widespread Review of Select Bone Mass Measurements (BMM) Services: Fourth Quarter of FY 2018 11/14/2018
Widespread Review Anesthesia for Extensive Spine and Spinal Cord Procedures: Third Quarter of FY 2018 08/13/2018
Widespread Review Anesthesia for Lower Intestinal Endoscopic Procedures Third Quarter of FY 2018 08/13/2018
Widespread Review of ALS Emergency Ambulance Services: Third Quarter of FY2018 08/13/2018
Widespread Review of BLS Non- Emergency Ambulance Services: Third Quarter of FY 2018 08/13/2018
Widespread Review of Diagnostic Radiology: Chest X-Ray Services: Third Quarter of FY 2018 08/13/2018
Widespread Review of Evaluation/Management Claims for Emergency Department Visit, with High Complexity Medical Decision Making: Third Quarter of FY 2018 08/13/2018
Widespread Review of Evaluation/Management Claims for Initial Hospital Inpatient Care Services: Third Quarter of FY 2018 08/13/2018
Widespread Review of Evaluation/Management Claims for New Patient Office or other Outpatient Services: Third Quarter of FY 2018 08/13/2018
Widespread Review of Evaluation/Management Claims for Subsequent Hospital Inpatient Care, Typically 25 Minutes: Third Quarter of FY 2018 08/13/2018
Widespread Review of Evaluation/Management Claims of Skilled Nursing Facility (SNF) Services: Third Quarter of FY 2018 08/13/2018
Widespread Review of Select Bone Mass Measurements (BMM) Services: Third Quarter of FY 2018 08/13/2018
Widespread Review of BLS Non-Emergency Ambulance Services: Second Quarter of FY 2018 05/14/2018
Widespread Review of Evaluation/Management Claims for Initial Hospital Inpatient Care Services: Second Quarter of FY 2018 05/14/2018
Widespread Review of BLS Non- Emergency Ambulance Services: First Quarter of FY 2018 02/05/2018
Widespread Review of Evaluation/Management Claims for Subsequent Hospital Inpatient Care, Typically 25 Minutes: First Quarter of FY 2018 02/05/2018
Widespread Review of Select Bone Mass Measurements (BMM) Services: First Quarter of FY 2018 02/05/2018
   

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