Full Implementation of Edits on Claims for Ordered/Referred Items and Services

March 10, 2013
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Rick Gawenda
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The Centers for Medicare and Medicaid Services (CMS) has issued a special edition MLN Matters® article that is a consolidation and update of prior articles (SE1011, SE1201, SE1208, and SE1221) regarding ordering and referring services. Effective May 1, 2013, the CMS will turn on the phase 2 denial edits. This means that Medicare will deny claims for services

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