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Targeted Probe and Educate: Medical Review Topics

The Medical Review team has developed a comprehensive list of common denials found during Targeted Probe and Educate reviews along with resources to assist you in understanding how to avoid these denials the future.

We encourage you to view the information specific to your Jurisdiction/Line of Business. Each list contains the topic, CPT code(s) if applicable, the common denial(s) and a multitude of resources. You will find a link to the information on the Targeted Probe and Educate web page in the Medicare Compliance Section of our website.

Posted 7/18/2023