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DEPARTMENT OF HEALTH & HUMAN SERVICES Office of Inspector General Washington, D.C. 20201 January 13, 2011, too: Donald M. Berwick, M.D. Administrator Centers for Medicare & Medicaid Services FROM: /Daniel
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Review of medicare claims is a process of verifying and ensuring the accuracy of the claims submitted to the Medicare program.
Healthcare providers, hospitals, clinics, and other entities that submit claims to the Medicare program are required to file review of medicare claims.
Review of medicare claims can be filled out electronically through the Medicare Administrative Contractor (MAC) system or by submitting paper forms to the appropriate Medicare office.
The purpose of review of medicare claims is to prevent fraud, waste, and abuse in the Medicare program by ensuring that claims are accurate and properly documented.
Review of medicare claims must include information such as patient demographics, dates of service, billed amounts, and supporting documentation.
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