DecisionHealth, DecisionHealth - 2011 Issue 1 (January)

CMS: Some wellness visits were incorrectly denied, but contractors will reprocess claims

You and your peers may see improper, automatic denials on claims for the new annual wellness visit (AWV) as a direct result of claims processing errors that affected “a few contractors,” a CMS official tells Part B News. “This is not a national problem,” she says. Following a tip from Part B News readers, agency officials took immediate action to investigate the problem and notify the Medicare Administrative Contractors (MACs) that were affected.

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