Hello Everyone.
We received a request for an on site 10+ chart review for an out of state BCBS Medicare Advantage plan. The request states CMS is requiring they "submit detailed documentation about the specific diagnoses of each Medicare Advantage member in accordance with ICD-9-CM standards". Is my understanding correct that we are not required to comply with these types of audits? Normally I do not have an issue but it seems every time we turn around we are receiving these requests. Can someone confirm?

Vicki Durden,CPC
Lake Eye Associates