tci Part B Insider - 2005 Issue 11

Physician Notes: 'Medically Unbelievable' Edits Put on Hold Indefinitely

No explanation for revocationThe "Medically Unbelievable" edits appear to have suspended their disbelief. The Centers for Medicare and Medicaid Services has rescinded Transmittal 105, which detailed how Adminastar Federal would issue edits for units of particular codes that seemed unrealistic.  In Other News: Carrier Advisory Committees should include interventional pain management specialists, CMS spells out in Transmittal 106, issued March 4. Virginia neurologist Abdorasool Janati and his office manager Forouzandeh Janati were each sentenced Feb. 25 to 41 months in prison. The defendants also had to pay approximately $500,000 in restitution. From 1996 to 2003, the...

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