Friday, September 15 2017 RAC Actions: Fall 2017 …Or… WHAT can they do, WHEN can they do it, and HOW? Watch for the Handouts As providers well know, these “killers” can sneak up on you! Finally Friday! Broadcasts are Sponsored … 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.