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Audit relief: CGS explains denials, excludes certain providers

June 20, 2014Liz Beaulieu, Editor

NASHVILLE, Tenn. - CGS Administrators has agreed to make two concessions that should make audits less hair-raising for HME providers in Jurisdiction C.The first: In a June 3 bulletin, the DME MAC detailed its plans to start sending providers detailed written letters explaining why their claims were denied as part of prepayment or complex medical reviews.“We're encouraged that they're taking our feedback and that we're finding those areas where collaboration is possible,” said Andrea Stark,...

Audits, error rates, letters, relief


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