Industry Notes:
Don't Forget That You Can Appeal CERT Denials, MAC Reminds Providers
Published on Fri Jun 26, 2015
Don’t take a CERT denial as the last word. Comprehensive Error Rate Testing denials “also have appeal rights and providers may appeal through the normal appeal process with National Government Services,” the HHH Medicare Administrative Contractor explains in an email message to providers. “For the first appeal level (redetermination), providers have 120 days from the date the claim was adjusted [...]