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January 27, 2016

2015 Probe Review Error Rates

The J15 Part B Medical Review Department performed Progressive Corrective Action (PCA) reviews on a number of services throughout calendar year 2015. The services reviewed and each calculated error rate are available to you here.

Strategy Item
Average Error Rate
Evaluation & Management
62.3%

Office Visits

52.4%

Critical Care

74.1%

Hospital (Initial and Subsequent)

55.5%

Emergency Room Visits

45.6%

Home Visits

89.7%

Nursing Facility and Assisted Living Visits

56.5%
Ambulance
40.3%
Chiropractic
96.3%

 

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