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


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


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!