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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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What is review of medicare claims?
Review of medicare claims is a process of verifying and ensuring the accuracy of the claims submitted to the Medicare program.
Who is required to file review of medicare claims?
Healthcare providers, hospitals, clinics, and other entities that submit claims to the Medicare program are required to file review of medicare claims.
How to fill out 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.
What is the purpose of review of medicare claims?
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.
What information must be reported on review of medicare claims?
Review of medicare claims must include information such as patient demographics, dates of service, billed amounts, and supporting documentation.
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