DecisionHealth, DecisionHealth - 2013 Issue 8 (August)

Incarcerated patients update: CMS tells providers to go ahead with appeals

Don’t bother waiting to appeal a demand letter or request a payment adjustment on claims for allegedly “incarcerated” patients. Go right ahead, CMS says in newly released guidance. Just make sure you send your request for payment to the right authorities if your Medicare patient turns out to have been a ward of the state.

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