tci Medicare Compliance & Reimbursement - 2015 Issue 3

Industry Notes: CMS: No Extensions on ADR Requests

When you get a documentation request from your MAC or another Medicare entity (such as a ZPIC, CERT or RAC auditor), chances are strong that you don’t have the requested paperwork sitting right in front of you — but if you need more time than the standard 45 days to find it, you can say goodbye to your payments. That’s the word from new MLN Matters article MM8583 entitled “New Timeframe for Response to Additional Documentation Requests,” which goes into effect on April 6. It notes that when an auditor needs additional documentation from your...

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