Please note: TPE reviews continue to be on hold due to the PHE related to COVID-19. However, the NGS Medical Review Department will be performing service specific post-payment reviews for a random selection of claims billed to Medicare Part A and B.
Providers are encouraged to review the Medical Review Focus Areas to learn about what services are being selected, what documentation will be requested, and more details on these service specific post-payment reviews.
Medical Review
NGS Medical Review Process
Please note: TPE reviews continue to be on hold due to the PHE related to COVID-19. However, the NGS Medical Review Department will be performing service specific post-payment reviews for a random selection of claims billed to Medicare Part A and B.
Providers are encouraged to review the Medical Review Focus Areas to learn about what services are being selected, what documentation will be requested, and more details on these service specific post-payment reviews.
