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US · guidance

CMS Pub. 100-08, ch. 7, § 7.2.2.5

Prepay Provider Specific Medical Record Review

activein force · 2026-08-25 – presentas-observed

Medical record review requires a licensed medical professional to use clinical review

judgment to evaluate medical records. This includes requests for, collection and

evaluation of medical records or any other documentation. The review is as a result of

vulnerabilities determined by data analysis and identified in the Medical Review strategy.

If the requested documentation is not received, the review is not considered medical

record review. The failure of the provider to submit documentation shall result in a

denial. Contractors shall use Group Code: CO - Contractual Obligation and Claim

Adjustment Reason Code (CARC) 50 - these are non-covered services because this is not

deemed a “medical necessity” by the payer and Remittance Advice Remark Code

(RARC) M127 - Missing patient medical record for this service. For the purpose of

calculating and reporting MR workload, cost and savings, contractors shall count these

denials as automated reviews or non-medical record reviews depending on the method of

development.

History

(Rev. 721; Issued: 06-09-17; Effective: 07-11-17; Implementation: 07-11-17)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
8dd24cccabe692966bbc011ab7479eb6ff73d75de52071493f9f3f0e1b69214f
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