tci Medicare Compliance & Reimbursement - 2005 Issue 41
PHYSICIANS: Feds Moving Toward Reduced Medical Review Period
Subscribe or sign in to view the full article.
Article Overview
This article covers a proposed Medicare policy change from CMS that would place a time limit on physician prepayment medical review, along with the related escalation path if billing concerns continue. It explains the issue at a high level for physicians, practice managers, and coding/compliance professionals who want to understand how carrier review, education, and contractor follow-up may affect office billing operations.
Why This Topic Matters
The topic matters because medical review can disrupt claims processing and create administrative burden for physician practices. Understanding the proposed time limits and the general review process helps stakeholders evaluate compliance risk and prepare for interactions with Medicare contractors.
What You Will Learn
- Why CMS proposed limiting the duration of physician prepayment medical review
- How ongoing billing concerns can affect the review process over time
- What roles carriers and safeguard contractors may play in review and education
- General strategies discussed for responding to medical review inquiries
Who Should Read This
- Physicians
- Medical practice managers
- Coding and compliance staff
- Healthcare consultants
- Revenue cycle professionals
Subscribe or sign in to view the full article.
Thank you for choosing Find-A-Code, please Sign In to remove ads.
Quick, Current, Complete - www.findacode.com