tci Medicare Compliance & Reimbursement - 2004 Issue 26

COMPLIANCE - CERT Medical Record Requests: What All Providers Need To Know

OIG checks in to see who is -- and who is not -- handing over the files. Still haven't sent in the medical records the Comprehensive Error Rate Testing contractor requested? The Centers for Medicare & Medicaid Services is seeing that you do. Larger than expected numbers of providers failed to respond to CERT requests for medical records in determining the 2003 fee-for-service claims error rate. That's why Senate Finance Committee Chairman Chuck Grassley (R-IA) and other members of Congress weighed in at the HHS Office of Inspector General with a request for get a reliable number in 2004...

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