TPE reviews remain suspended due to the PHE related to COVID-19. However, the NGS MR Department is currently performing service-specific, post-payment reviews for a random selection of claims billed to Medicare Part A and B.
Service Specific Post Payment Review Announcements
Providers are encouraged to visit the Medical Review Focus Area on website. This dedicated area will identify which services are being selected, what type of documentation is required, and provide more details on these service-specific post-payment reviews. For July 2021, the following areas are selected:
- SERVICE SPECIFIC POST PAYMENT REVIEW OF NAIL DEBRIDEMENT CPT – CODES 11719, 11720, 11721
- SERVICE-SPECIFIC POST PAYMENT REVIEW OF PARING OR CUTTING OF BENIGN HYPERKERATOTIC LESIONS CPT – CODES 11055, 11056, 11057
- SERVICE-SPECIFIC POST-PAYMENT REVIEW OF TRIGGER POINT INJECTIONS CPT CODES 20552 AND 20553
- SERVICE-SPECIFIC POST PAYMENT REVIEW OF PSYCHOTHERAPY, 60 MINUTES WITH PATIENT – CPT 90837
- SERVICE-SPECIFIC POST PAYMENT REVIEW OF VITAMIN D ASSAY TESTING CPT CODE 82306
Source:https://www.ngsmedicare.com
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