Revenue Cycle

CMS announces electronic data submission tool for providers

Recovery Auditor Report, February 24, 2011

As it currently stands, providers respond to documentation requests from review contractors such as recovery audit contractors (RACs) and Medicare administrative contractors (MACs) via mail or fax. As evidenced in the past, providers have had a number of problems with this form of coordination. Announced this week, however, is a new option that allows certain providers to make electronic data submissions.

CMS is referring to the new option as “esMD,” (electronic submission of medical documentation.) Phase one of esMD will begin in April 2011. During this phase, according to CMS, certain review contractors will continue to send medical documentation requests via paper mail and providers will have the option to electronically send medical documentation back to the contractor.

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