FRIDAY June 10, 2016: “Managed Care Anguish – Part 2“ Looking for an Rx for your Revenue Cycle? …well… Here’s some real world advice & examples Get the Handouts Sponsored by The Health Law Partners, MAS Coding Solutions THIS WEEK, … Continue reading →
“Scope Creep” in Appeals is Dead CMS has instructed MACs and QICs to limit their review to the reason(s) the claim or line item at issue was initially denied. For redeterminations and reconsiderations of claims denied following a complex prepayment review, a complex post-payment review, or an automated post-payment review by a contractor, Limiting the scope of review on redeterminations and reconsiderations of certain claims. MLN Matters Number SE1521.