Industry Notes:
Autodenials For Related Claims May Spell Trouble
Published on Fri Feb 28, 2014
How ‘related’ are your claims? Financial implications for your denials may get much steeper, thanks to a new CMS directive on related claims. Medicare contractors that have denied a claim under medical review "have the discretion to deny other related claims submitted before or after the claim in question," the Centers for Medicare & Medicaid Services instructs in CR 8425 [...]