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Medicare Compliance & Reimbursement

Industry Note:

Know this Medicare Deadline Loophole

If you run behind on submitting your documentation for a claim under medical review, you may get a reprieve — depending on who your MAC is. Medicare regulations require that “when the Medicare Administrative Contractor (MAC) requests documentation for prepayment or postpayment review, the provider must submit the documentation within 45 calendar days, or the claim shall be denied,” HHH [...]

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