CMS: Who Can Contact You About What?

Is your office getting calls from various Medicare entities regarding medical records, documentation, and other information? Are you wondering, “What’s going on?” You should; and you’re not alone.

After fielding calls from providers who were confused about the responsibilities of several entities and what they can and should not share, the Centers for Medicare & Medicaid Services (CMS) set out to define the differences. A special article and table can help you and your colleagues understand the roles and boundaries of the following Medicare entities:


  • Claims processing contractors
  • Program integrity contractors
  • Special medical review contractors
  • Appeals contractors and entities
  • Quality improvement contractors

Latest posts by admin aapc (see all)

Leave a Reply

Your email address will not be published. Required fields are marked *