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CMS Revises Policy on Billing Part B for Inpatient Claim Denials

CMS Revises Policy on Billing Part B for Inpatient Claim Denials

In a ruling published March 13, 2013, the Centers for Medicare & Medicaid Services (CMS) officially revised the current policy on Part B billing, following the denial of a Part A inpatient hospital claim on the basis that inpatient admission wasn’t reasonable and necessary. Since the National Recovery Audit Contractor (RAC) program started in 2010, […]

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