tci Medicare Compliance & Reimbursement - 2005 Issue 17

Appeals: Medicare Appeals Changes Coming

Strict new protocols highlight alterations.If you're a provider who has gotten used to flexibility in the appeals process, get ready to tighten your belt. CMS will soon put into play its Medicare claims reforms- and recouping pay for improper claim denials isn't going to be as simple as it used to be. The Centers for Medicare and Medicaid Services is about to implement a host of appeals required by the Benefits Improvement and Protection Act of 2000 and the Medicare Modernization Act of 2003, according to a final interim rule in the March 8 Federal Register. Here's...

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