Corporate Compliance

Note: Face validity assessment of ABNs required on all complex medical reviews

Medicare Insider, December 14, 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.

Last Friday, CMS issued transmittal R361PI requiring mandatory advanced beneficiary notices (ABNs) to be included as part of the request for additional records (ADRs) for all complex record requests on and after January 1, 2011.  Contractors are to perform a face validity assessment of the ABN if the claim is determined not to be reasonable and necessary.

Continue reading Judith's note on the MedicareMentor Blog.



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