Industry Note:
MACs May Begin Denying Claims That Fail Ordering/Referring Edits
Published on Fri Feb 01, 2013
CMS might soon follow through on its longstanding threat to deny claims that fail the ordering/referring provider edits. Although CMS has had this on the horizon for several years now, the agency has never actually formalized a date when the denials would start. But a Dec. 13 CMS podcast indicates that CMS "will soon begin denying Part B, DME, and [...]