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U.S. Department of Health and Human ServicesOffice of Inspector General CMS Use of Data on Nursing Home Staffing: Progress and Opportunities To Do More Suzanne MurrinDeputy Inspector General March,
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CMS did not detect refers to instances where the Centers for Medicare & Medicaid Services fails to identify or recognize certain discrepancies or issues in submitted healthcare claims or data.
Healthcare providers, facilities, and organizations that bill Medicare and Medicaid are typically required to file CMS claims and address any issues related to data detection.
Filling out CMS forms involves providing accurate patient information, procedure codes, diagnosis codes, and any additional required documentation to ensure compliance and proper processing.
The purpose is to ensure accurate and timely reimbursement for healthcare services while maintaining the integrity of Medicare and Medicaid programs by identifying and addressing discrepancies in claims.
Information must include patient identification details, claim submission dates, service codes, and any corrections or explanations necessary to clarify why the CMS did not detect the original issue.
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