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Medicare Compliance & Reimbursement

Claims Appeals:

Good News: You Now Have Better Appeal Chances for Certain Denied Claims

Published on Wed Oct 14, 2015

But make sure you pay attention to the many limitations on the new guidance. In a refreshing move from the Centers for Medicare & Medicaid Services (CMS), newly released guidance limits the scope of review for some redeterminations and reconsiderations. Now you’ll have a greater chance of winning appeals on Medicare claims denials. Scenario: Medicare paid your claim, but a [...]
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