According to a recent Survey & Certification memo, certain auditors that are doing prepayment reviews of Medicare claims must tell providers that they have 45 days to produce any additional documents requested (ADR). This instruction is only for Medicare Administrative Contractors and Zone Program Integrity Contractors who are required to alert providers that failure to respond within 45 calendar days to pre-payment ADR will result in a denial of the claim. The effective date of the instruction from CMS is April 1, 2015.
Click here to access the memo.
Click here to access the related manual update.
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