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Medicare audit and reimbursement resume

427 5 months ago
Some of the audits that are of high priority are post-payment reviews of COVID claims submitted prior to March 1, CMS has not yet stated when they will be auditing claims submitted after March 1, and throughout the current public health emergency, but experts expect these audits to begin in the coming months. The audits will be done pursuant to existing statutory and regulatory provisions, but any waiver or flexibility allowed for any date of service which is under review will be considered in the audit. Many providers are concerned about this positive test requirement.

CMS to Resume Audits, Medical Reviews in August

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As such, it is not owned by us, and it is the user who retains ownership over such content. Medicare and Medicaid Collector Specialist. Please provide a type of job or location to search! Love this resume? Build Your Own Now. Professional Summary. Medical billing and coding specialist with over 9 years experience providing administrative support in a hospital setting.

CMS to Resume Medical Review Audits

Jeffrey S. Unfortunately, this suspension is coming to an end. If selected for review, providers should discuss with their contractor any COVID related hardships they are experiencing that could affect audit response timeliness. CMS notes that all reviews will be conducted in accordance with statutory and regulatory provisions, as well as related billing and coding requirements.
As such, it is not owned by us, and it is the user who retains ownership over such content. Regional Reimbursement Manager. Regional Reimbursement Specialist. Director of Clinical Reimbursement.

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