Industry Note:
Medicare Reviews Less Than 1% Of Claims
Published on Fri Aug 30, 2013
Response timeframes to ADRs may tighten up under GAO recommendation. It may seem like you are bombarded with record requests for medical review, but the Medicare program is still reviewing a tiny portion of the claims it pays. The Centers for Medicare & Medicaid Services has four contractors that conduct claims review — Medicare Administrative Contractors (MACs), Zone Program Integrity [...]