REVCON Virtual is happening soon! Two days dedicated to mastering the revenue  cycle | Register Today!

CMS: Who Can Contact You About What?

  • By
  • In Audit
  • September 16, 2011
  • Comments Off on 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

Comments are closed.