05/17/18
Intent to Reopen a Denied Claim
The Centers for Medicare and Medicaid Services (CMS) has issued instructions for Medicare Administrative Contractors (MACs) to provide notification of the reopening process and to notify the provider or supplier of their intent to reopen a specific claim when requested documentation is received after a denial of the claim has been made. If the MACs receive the requested information from a provider or supplier after a denial has been issued but within a reasonable number of days (generally 15 calendar days after the denial date), they have the discretion to reopen the claim. MACs who choose to reopen a specific
Read More