The Daily Dose / TCG - Episode 9 - Medical Record Review Determinations episode artwork

EPISODE · Jun 15, 2022 · 12 MIN

The Daily Dose / TCG - Episode 9 - Medical Record Review Determinations

from The Compliance Guy · host Sean M. Weiss

In this episode we look at one of the most critical aspects of Chapter 3 (Section 3.3.1.1) of the #Medicare Program Integrity Manual. This section speaks to #Clinical Review #Judgment and #Medical #Necessity. This section applies to the MACs, CERT, MRAC, SMRC, and UPICs and should be used by all #healthcareprofessionals to stand your ground against payers and their contractors! So much to unpack in such a short period of time!

Episode metadata supplied by the publisher feed · Published Jun 15, 2022

In this episode we look at one of the most critical aspects of Chapter 3 (Section 3.3.1.1) of the #Medicare Program Integrity Manual. This section speaks to #Clinical Review #Judgment and #Medical #Necessity. This section applies to the MACs, CERT, MRAC, SMRC, and UPICs and should be used by all #healthcareprofessionals to stand your ground against payers and their contractors! So much to unpack in such a short period of time!

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The Daily Dose / TCG - Episode 9 - Medical Record Review Determinations

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In this episode we look at one of the most critical aspects of Chapter 3 (Section 3.3.1.1) of the #Medicare Program Integrity Manual. This section speaks to #Clinical Review #Judgment and #Medical #Necessity. This section applies to the MACs, CERT,...

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