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Neurosurgery Coding Alert

Claims Appeals:

CMS Revises Scope Of Review For Redeterminations And Reconsiderations

Published on Fri Dec 04, 2015

Limitations on the new guidance apply to post-payment review or audit only. The Centers for Medicare & Medicaid Services (CMS) has released guidance that limits the scope of review for some redeterminations and reconsiderations. This is actually good news for coding practices as it implies a greater chance of winning appeals on Medicare claims denials. Scenario: Medicare paid your claim, [...]
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