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Radiology Coding Alert

Claims Appeals:
Revamp Your Understanding Of Redeterminations And Reconsiderations

CMS revises scope, specifies guidance for post-payment review or audit only. The Centers for Medicare & Medicaid Services (CMS) has released guidance that redefines review for some redeterminations and reconsiderations. What can this mean for your practice? You can now be happy as you stand a larger chance of winning appeals on Medicare claims denials. Scenario: Medicare paid your claim, but a Zone [...]