tci Medicare Compliance & Reimbursement - 2017 Issue 20

Reader Question: CMS Offers Claims Exceptions for Small Practices

Tip: Medicare will accept paper claims, but there are size restrictions. Question: Our practice recently reorganized, and we now only have 11 full-time employees. We are having an issue with our electronic claims submission software and heard that small practices can send claims via paper, but we don't have confirmation of that. Can you advise? Supercoder.com Subscriber Answer: Although CMS requires practices to submit claims electronically, there are exceptions to this rule, and small providers can meet one such exception, allowing them to submit paper claims. According to CMS, the small provider claims exception applies to physicians, suppliers...

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