Is Your Medicare Payer Playing by the Rules?

Hughes, Cindy
July 2010
Family Practice Management;Jul/Aug2010, Vol. 17 Issue 4, p27
Academic Journal
The article discusses the interpretation errors in the Current Procedural Terminology and Medicare's Documentation Guidelines for Evaluation and Management Services. It states that the Centers for Medicare & Medicaid Services (CMS) has permitted the individual Medicare administrative contractors (MACs) which process Medicare claims to construe the rules as they consider fit. It says that the error became evident when MAC TrailBlazer Health Enterprises LLC modified its documentation requirements.


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