Harmony Healthcare Blog

Medicare Denied Claims – How the Appeal Letter Can Make Or Break You

Posted by The Harmony Team on Tue, Jul 15, 2014

Many facilities believe they can relax due to the announcement that the Recovery Auditor Contractors (RACs) are taking a temporary break.  Unfortunately, this is not the case, as facilities can still fall prey to audits by Medicare Administrative Contactor (MACs), Zone Program Integrity Contractor (ZPICs), and Comprehensive Error Rate Testing (CERT) audits.  It is imperative that facilities continue to be vigilant in their efforts to monitor for Additional Development Requests (ADRs) and promptly address any received. 

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Topics: Medicare Denied Claims, Medicare Denied Claims Appeal

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