Retrospective Review of Medical Records Sample Clauses

Retrospective Review of Medical Records. At the request of Xxxxxxxxxx County and upon TMF’s receipt of all appropriate medical record documentation, TMF will retrospectively review non-Medicare medical records to address any questions or areas of concern Xxxxxxxxxx County may have related to the medical necessity, coding, quality and appropriateness of preventive care and chronic disease management provided in the clinic setting as compared to established national medical practice guidelines. TMF will also perform chart to charge audits of emergency room visits to validate charges against documentation in the medical record. Unless specified by Xxxxxxxxxx County, TMF reserves the privilege to assign a physician specialty appropriate to the case in question. Review determinations on all records submitted will be based on the available information submitted by Xxxxxxxxxx County or contracted providers. TMF does not assume responsibility for incomplete records.
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Related to Retrospective Review of Medical Records

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