Health Information Management

CMS now requiring ABN review as part of MAC, CERT, RAC, and ZPIC documentation requests

HIM-HIPAA Insider, December 21, 2010

Want to receive articles like this one in your inbox? Subscribe to HIM-HIPAA Insider!

On December 10 CMS released Transmittal 361, Change Request 6988 that MACs, CERT, RACs, and ZPICs will request a mandatory advanced beneficiary notice (ABN) as part of the additional documentation request (ADR) on all claims undergoing complex medical record review.

This change will be effective January 12, 2011.
 
Click here to view the transmittal.
 
Editor’s note: For the latest information on RACs and other auditors, visit the Revenue Cycle Institute.



Want to receive articles like this one in your inbox? Subscribe to HIM-HIPAA Insider!

Most Popular