Examples of Retrospective review in a sentence
Retrospective review does not include the review of a claim that is limited to the veracity of documentation or accuracy of coding.
Retrospective review is a type of treatment review that occurs when the initial review of a Certification request takes place after services have been rendered.
Retrospective review is performed when we are not notified of the service you received, and are therefore unable to perform the appropriate review prior to your discharge from the hospital or completion of outpatient treatment.
Retrospective review may be performed to ensure documentation supports the medical necessity of the service when claims are submitted for the procedure codes listed within this handbook.4.1.1 Authorization RequirementsPrior authorization requests may be submitted to the TMHP Prior Authorization Department via mail, fax, or the electronic portal.
Retrospective review may be performed to ensure that the documentation supports the medical necessity of the service and any modifier used when billing the claim.