Industry Notes:
Claims Review Changes May Help Your Appeal
Published on Fri Sep 04, 2015
Change won’t apply to appeals prior to Aug. 1. If your claim gets denied in medical review, Medicare contractors are now barred from attacking it on new grounds during your appeal. Old way: Qualified Independent Contractors “have discretion while conducting appeals to develop new issues and review all aspects of coverage and payment related to a claim or line item,” [...]