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 [...]