decisionhealth Newsletters, Part B News - 2013 Issue 11 (November)
eRx “informal review” period begins, but notifications not seen
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Article Overview
This article covers CMS’s informal review period tied to the e-prescribing payment adjustment process for 2014, including timing, provider eligibility concerns, and reported issues with notification delivery. It is relevant to physician practices, billing and compliance staff, and other healthcare organizations tracking Medicare payment adjustments and CMS review procedures. The discussion focuses on the administrative process, deadlines, and the type of information CMS indicates may be requested during review.
Why This Topic Matters
Providers and practice administrators needed to know whether they were subject to an e-prescribing payment adjustment, when to request review, and what CMS expected in the review process. The article highlights a potential communication gap that could affect timely action and payment impact awareness.
What You Will Learn
- The purpose and timing of CMS’s informal review period
- How the article frames the e-prescribing payment adjustment issue
- Which types of healthcare organizations may need to pay attention to the review process
- What general categories of information CMS says may be needed for a review request
Who Should Read This
- Physician practices
- Practice managers
- Billing professionals
- Compliance staff
- Health policy readers
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