E/M Coding Alert - 2020 Issue 9
Reader Questions: CMS Restarting Medical Review
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Article Overview
This reader Q&A covers CMS’s announcement that Medicare fee-for-service medical review activities resumed after a temporary COVID-19-related suspension. It is relevant to coders, billing staff, compliance teams, and providers who need to understand the general scope of review programs, the timing of the restart, and the broader billing-and-coding context discussed in CMS’s FAQ guidance.
Why This Topic Matters
The article helps readers track when medical review activity restarted, which contractor review types were affected, and how CMS framed the return to normal oversight during the pandemic period. It is useful for organizations monitoring audit readiness, documentation workflows, and administrative burden related to Medicare claims review.
What You Will Learn
- How CMS handled a temporary suspension of Medicare medical review activity during the COVID-19 public health emergency
- Which broad categories of Medicare review activity were affected by the suspension
- What CMS indicated about the timing of the restart and the related FAQ guidance
- How the article frames provider considerations when responding to review requests during the pandemic period
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Healthcare providers
- Revenue cycle teams
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