tci Part B Insider - 2005 Issue 37

MEDICAL REVIEW: Have No Fear, Medical Review Will Last No More Than A Year

3 tips for getting off medical review as fast as possible Your carrier can still drive you nuts with documentation requests and prepayment reviews--but soon, at least, there may be a time limit. The Centers for Medicare & Medicaid Services published a proposal to limit the time your carrier can put you on prepayment medical review to one year. And if your error rate decreases by 70 percent, then the carrier has to let you off medical review sooner, according to the proposal in the Oct. 7 Federal Register (Vol. 70, No. 194, pp. 58649-58654). Here’s the catch:...

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