Targeted Probe and Educate

Medical Review: Targeted Probe and Educate Review Topics

Prevent technical denials by ensuring your medical records are legible and include a valid, legible provider signature.

  • If you notice the provider signature is illegible when asked to supply medical records, please include a signature key, signature page, or a document from the provider/physician or compliance officer that affirms the signature is indeed the providers/physicians. This signature document can be submitted routinely for all requests for medical records.
  • Providers should not add late signatures to the medical record, (beyond the short delay that occurs during the transcription process) but instead should make use of the signature authentication process.

    CMS IOM Publication 100-08, Medicare Program Integrity Manual, Chapter 3, Section 3.3.2.4
     
  • If you notice the medical records are illegible, please submit a typed transcription of the medical records with the original records when responding to ADR.

Jurisdiction K Part A Targeted Probe and Educate: Medical Review Topics

Revised 7/18/2023

Helpful Resources

Targeted Probe and Educate Manual

Helpful Resources

Targeted Probe and Educate Manual

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USPS
National Government Services, Inc.
P.O. Box 7108
Indianapolis, IN 46207-7108

UPS/FedEx
National Government Services, Inc.
220 Virginia Ave
Indianapolis, IN 46204
ATTN: Mail & Distribution
*Add/insert the operational unit record to be scanned

Direct Fax
315-442-4390

Helpful Resources

Targeted Probe and Educate Manual

NGSConnex
Log Into NGSConnex
NGSConnex User Guide

USPS
National Government Services, Inc.
P.O. Box 7108
Indianapolis, IN 46207-7108

UPS/FedEx
National Government Services, Inc.
220 Virginia Ave
Indianapolis, IN 46204
ATTN: Mail & Distribution
*Add/insert the operational unit record to be scanned

Direct Fax
315-442-4390

Helpful Resources

Targeted Probe and Educate Manual

NGSConnex
Log Into NGSConnex
NGSConnex User Guide

USPS
National Government Services, Inc.
P.O. Box 7108
Indianapolis, IN 46207-7108

UPS/FedEx
National Government Services, Inc.
220 Virginia Ave
Indianapolis, IN 46204
ATTN: Mail & Distribution
*Add/insert the operational unit record to be scanned

Direct Fax
315-442-4231

Helpful Resources

Targeted Probe and Educate Manual

NGSConnex
Log Into NGSConnex
NGSConnex User Guide

USPS
National Government Services, Inc.
P.O. Box 6475
Indianapolis, IN 46206-6475

UPS/FedEx
National Government Services, Inc.
220 Virginia Ave
Indianapolis, IN 46204
ATTN: Mail & Distribution
*Add/insert the operational unit record to be scanned

Direct Fax
317-595-4364

Helpful Resources

Targeted Probe and Educate Manual

NGSConnex
Log Into NGSConnex
NGSConnex User Guide

USPS
National Government Services, Inc.
P.O. Box 7108
Indianapolis, IN 46207-7108

UPS/FedEx
National Government Services, Inc.
220 Virginia Ave
Indianapolis, IN 46204
ATTN: Mail & Distribution
*Add/insert the operational unit record to be scanned

Direct Fax
315-442-4154

Helpful Resources

Targeted Probe and Educate Manual

NGSConnex
Log Into NGSConnex
NGSConnex User Guide

USPS
National Government Services, Inc.
P.O. Box 6474
Indianapolis, IN 46206-6474

UPS/FedEx
National Government Services, Inc.
220 Virginia Ave
Indianapolis, IN 46204
ATTN: Mail & Distribution
*Add/insert the operational unit record to be scanned

Direct Fax
315-442-4154