Medical Review:
MAC Targets More High-Therapy Claims For Review
Published on Thu Jan 30, 2014
High payment equals high levels of scrutiny. Be ready to defend your high-dollar claims, because chances that they’ll go under medical review are increasing. On the heels of announcing prepay probe reviews of three high-therapy, high-dollar codes (see Eli’s HCW, Vol. XXIII, No. 4), HHH Medicare Ad-ministrative Contractor Palmetto GBA has announ-ced probe reviews for five more high-therapy codes, according to [...]