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Home Health & Hospice Week

Appeals:

Know When New Medical Review Limits Help You -- And When They Don't

Published on Fri Oct 23, 2015

Pre-pay claims denials are exempt. You may be one of many providers that cheered when CMS limited the scope of review for appeals — but the new guidance only goes so far. Reminder: Before Aug. 1, Medicare Administrative Contractors and Qualified Independent Contractors had “discretion while conducting appeals to develop new issues and review all aspects of coverage and payment [...]
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