ED Coding & Reimbursement Alert - 2011 Issue 10
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Article Overview
This brief article covers CMS and Medicare contractor outreach related to Comprehensive Error Rate Testing (CERT) medical review requests. It is relevant to providers and billing staff who track Medicare fee-for-service documentation requests, contractor communications, and the status of pending claims review activity.
Why This Topic Matters
It helps readers understand that CMS may follow up when CERT documentation requests are not answered and that this can affect how claims are categorized in Medicare fee-for-service error-rate monitoring.
What You Will Learn
- What CMS and its contractors are doing in response to unanswered CERT medical review requests
- Why CERT follow-up matters for Medicare fee-for-service claims monitoring
- Which contractor organizations are referenced in the update
- How this outreach relates to documentation and claim status review activity
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle professionals
- Compliance staff
- Providers and practice managers
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