CMS to Revise Medical Review Strategy

The Centers for Medicare & Medicaid Services (CMS) has issued change request (CR) 10249, that expands Probe and Educate medical review procedures, to all the Medicare Administrative Contractors (MACs). CMS is instructing the MAC to use a Targeted Probe and Educate strategy for medical review beginning October 1, 2017. CMS has had Probe and Educate…