CMS Eliminates 12-Month Claim 'Lookback' Period

June 2012
Part B Insider;Jun2012, Vol. 13 Issue 21, p162
The article reports on Centers for Medicare & Medicaid Services' (CMS) issuance of Transmittal 422 that eliminates the 12-month claim lookback period when Medicare Administrative Contractors (MACs) request for older documentation in the U.S. The directive suggests that medical claim records can be indefinitely requested from the service date. It notes that it does not replace the 12-month period with new one.


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