Tag Archives: MAC

“Finally Friday!” ALJ Training Given by OMHA, CMS and MAC

FRIDAY December 2, 2016: “ALJ Training Given by OMHA, CMS and MAC” or We finally get a peek behind the curtain and… maybe this is how Dorothy felt? Get the Handouts Sponsored by The Health Law Partners and ZirMed THIS … Continue reading

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“Finally Friday!” The Return of “Reach-Thru” or “Shadow” Denials – Transmittal 534

Transmittal 505 Resurrected as 534 or “Reach-Thru” Denials Are Back Get the Handouts This week, we looked at the newest wrinkle in what has been termed, “Reach-Thru Denials” and the latest version of a CMS rule that now will “…allow … Continue reading

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The Return of “Reach-Thru Denials” – CMS Transmittal 534

“Reach-Thru” or “Shadow” Denials You Can’t See Them Coming CMS Transmittal 505, issued February 5, 2014 and effective March 6, 2014, modified Section 3.2.3 of the Medicare Program Integrity Manual, to authorize all their various contractors who process and review … Continue reading

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