Revenue Cycle

CMS requires the creation of improper payment edits

Recovery Auditor Report, April 5, 2012

In early March, CMS released two related transmittals that rescinded prior transmittals. These rescinded transmittals summarize issues that the Recovery Auditors have identified as causing significant overpayments. CMS is requiring the implementation of edits to either correct or prevent these errors.

One Time Notification Transmittal 1051, which is effective July 1, 2012, will require the development of edits to correct improper payments for the following areas:

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To read an article on this topic that appeared in HCPro’s Medicare Update For CAHs, visit our website by clicking here.

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