tci Medicare Compliance & Reimbursement - 2003 Issue 43

Physicians: PHYSICIANS GET A BREAK ON APPEALS DOCUMENTATION

Long-delayed coverage appeal rule at last in final form.  Burdensome physician certification rules that could have derailed beneficiary appeals of Medicare coverage decisions have been stripped from the books. In a final rule governing beneficiary appeals of national and local coverage determinations, the Centers for Medicare & Medicaid Services relented on stringent certification requirements contained in its Aug. 22, 2002 proposal. Those requirements have been relaxed in the final rule: Now, certification that a service is necessary can simply be in the form of a written order or another component of the medical record. In addition, physicians won't...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.


Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Medicare Compliance & Reimbursement +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.