After receiving calls from providers who were confused about the rights and responsibilities of various entities, CMS has published an article and table that can assist physicians and staff in understanding the roles of:
Claims processing contractors
Program integrity contractors
Special medical review contractors
Appeals contractors and entities
Quality improvement contractors
Access the CMS table here.
Related Articles on Coding, Billing and Collections:
Idaho’s Pend Oreille Surgery Center Negotiates New Contracts After Refusing Unprofitable Offers From Payors
Gap Between Insured, Uninsured Widened in 2010
Colorado Attorney General Will Assist With Health Insurance Exchange While Battling Federal Reform Law
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.
