Prior to the Medicare Prescription Drug, Improvement and Modernization Act of 2003 (MMA), a provider or supplier subject to non-random prepayment complex medical review remained on this targeted review until it met all Medicare billing requirements and demonstrated an “acceptable error rate.”
The Medicare contractor was given the discretion to determine when the provider or supplier achieved an “acceptable error rat » Read more: Medicare Eases Rule on Termination of Provider Medical Records Review
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