Corporate Compliance

Note: CMS updates instructions to contractors for requesting CMS' permission to pay claims without first obtaining CWF approval

Medicare Insider, January 19, 2010

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Editor’s note: Judith Kares, JD, CPC, regulatory specialist for HCPro, Inc., is the author of this week’s note from the instructor.

The Common Working File (CWF), which tracks beneficiary eligibility information, generally must approve each claim before it is paid. There is a process, however, in the presence of special circumstances, for contractors (e.g., FIs, MACs, Carriers, DMERCs) to request permission from CMS to pay claims without first obtaining CWF approval.

Click over to the MedicareMentor Blog to read more.



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