Tag: MAC

CMS orders post-pay audit of SNF PPS claims

The Supplemental Medical Review Contractor (SMRC) is charged with conducting nationwide medical review as directed by the Centers for Medicare & Medicaid Services (CMS). Topics and timeframes for these reviews are dictated by CMS and are chosen to address specific agency interests regarding coverage, coding, payment, and billing practices. On March 17, 2017, SMRC announced […]

Ask the expert: MAC audits

Q: We recently went through a Medicare probe at my facility and a part of the probe was denied because a MDS was not in the national repository.  How can I find out which MDS they were speaking about? I have submissions that state all of my MDS’ for this particular resident were accepted. A: You […]