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tci Part B Insider - 2018 Issue 8
Measure Your Critical Care Numbers Against Your Peers
Critical care sits atop the MACs’ Targeted Probe and Educate to-do lists.
If you’re worried about your critical care service claims, benchmarking is an easy way to review your numbers. A quick survey of your billing rates can help you fix coding issues and improve your bottom line, too.
TPE: Currently, critical care service claims are under Targeted Probe and Educate (TPE) medical review for Part B MACs who’ve published their active lists like CGS Medicare, Novitas Solutions, and Palmetto GBA.
RAC & CERT: In addition, there are three separate issues that Recovery Audit Contractors (RACs) are...
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