Tag Archives: transmittal 505

“Finally Friday!” Final Word on Transmittal 541 and “Clawbacks”

FRIDAY September 19, 2014 The Final Word on “Clawbacks” Transmittal 505/534/540/541 Watch the Replay and Get the Handouts Project FAIL: when a government project fails, they just change it’s mission – reset the parameters, the expectations. That’s what happened with … 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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