tci Part B Insider - 2003 Issue 6

MEDICAL REVIEW: Order Lab Tests And You May Hear From Carrier Reviewers

You now have only two weeks, instead of three, to respond to suspensions, offsets or recoupments after Medical Review. The Centers for Medicare & Medicaid Services revised the Medicare Carriers Manual to say that providers have 15 calendar days, not 15 business days, to respond to MR denials. Such rebuttals must include "any pertinent information as to why the suspension of payment, offset or recoupment should not be put into effect." Transmittal 39, issued March 14, also clarifies that MR staff should contact the provider who bills for lab services first, but reviewers also can contact the provider...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 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

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
 subscribe
start today
 newsletter
free subscription

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