Medicare Compliance & Reimbursement

Industry Notes:

CMS: Submit Requested Documentation within 45 Days,or Face Denials

If your payer is performing a pre-payment audit of your claims, the MAC will typically ask you for additional documentation. In the past, some MACs would say you had 30 days to submit the documentation, while other insurers might not have given you a timeframe at all. CMS has cleared the air on this topic, confirming that you have 45 [...]
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