by Medical Billing | Oct 22, 2015 | Medicare payment basics
2016 PQRS Payment Adjustment and Informal Review Process On September 11, CMS began distributing letters to Physician Quality Reporting System (PQRS) individual Eligible Professionals (EPs), EPs providing services at Critical Access Hospitals billing under method II,...
by Lori | Aug 17, 2010 | Medicare payment basics
Second Level Appeal Request: Reopening If the reopening request is the result of medical review decision (N102 on your Remittance Advice-RA), please attach a copy of the RA and any supporting documentation. If you are unsure whether to request a redetermination...
by Lori | Aug 17, 2010 | Medicare payment basics
How to receive a successful decision on Redetermination request To ensure that you receive a successful decision on single or multiple-claim appeal requests, review the six key items listed below: 1. Requests submitted without all appropriate signed documentation...