tci Part B Insider - 2013 Issue 16

Physician Note: Ready for Ordering/Referring Edits? CMS Is Not

Plus: Auditors accuse CIGNA of overbilling Medicare by $28 million. Part B practices have been scrambling to prepare for phase two of the Medicare ordering and referring edits, which were supposed to kick in on May 1. However, although MACs have been scrambling to prep as well, CMS was not ready in time to begin implementation. "Due to technical issues, implementation of the Phase 2 ordering and referring denial edits is being delayed," CMS said in an April 25 statement. "CMS will advise you of the new implementation date in the near future," CMS continued. "In the...

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