Industry Note:
MACs, MA Plans Can Review Your Claims Simultaneously
Published on Fri Aug 23, 2019
Getting put on medical review for your Medicare Advantage claims won’t get you out of regular Medicare review, and vice versa, a recent question-and-answer set on the Targeted Probe and Educate medical review program shows. “Palmetto GBA does exclude Medicare Secondary Payer (MSP) claims from the edit sample, but a MA Plan is not a primary payer over Medicare,” the [...]