Effective for all initial documentation request
letters sent on or after January 1, 2014, providers and suppliers will have 60
days to submit medical documentation in response to initial documentation
request for claims selected by the Comprehensive Error Rate Testing (CERT)
program. If no documentation is received
by the 60th day, the claim will be considered a “no documentation”
error and recoupment will be pursued.
This information was sent by CGS a Medicare Administrative Contractor.
We have always recommended that you submit your
documentation as soon as possible and send it by certified mail return
receipt. We also recommend you send each
patient separately and identify on the green return receipt card a patient
number. Do not use patient names or
Medicare numbers. This proves that the
record for that medical record number was indeed received. There have been many cases when documentation
was sent timely, but not properly credited as received.
For more information please use the following
link:
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