BC Advantage - 2006 Issue 1

Medical Review Matching of Electronic Claims and Additional Documentation in the Medical Review Process

SUMMARY OF CHANGES: Clarifies that for medical review contractors require the submission of paper claims except as expressly permitted section 90, of the Medicare Claims Processing Manual. Clarifies how paper documentation for medical review purposes. Indicates when additional documentation shall be matched or considered for medical review.NEW/REVISED MATERIALEFFECTIVE DATE: February 10, 2006IMPLEMENTATION DATE: February 10, 2006Click here to download the file ...

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