E/M Coding Alert - 2011 Issue 36
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Article Overview
This short article reports on a payment error involving a Medicare contractor and a quality reporting program, with an update on which providers were affected and what the carrier said would happen next. It is relevant to providers, billing staff, and compliance teams who monitor Medicare communications and payment integrity notices.
Why This Topic Matters
Payment corrections and refund requests can affect practice accounting and Medicare reconciliation, so organizations that bill Medicare should be aware of the issue and monitor carrier notices.
What You Will Learn
- The general nature of the payment issue described in the notice.
- Which Medicare contractor issued the announcement.
- The states affected and the timing of the processed payments.
- How the carrier indicated it would handle the overpayment situation.
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Compliance staff
- Medicare providers
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