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  • Calculating Provider Error Rates
  • Post author
    Lacy Gaskins

Calculating Provider Error Rates

The Centers for Medicare & Medicaid Services (CMS) requests Medicare Administrative Contractors (MACs) calculate provider error rates according to a formula that gives attention to claims denied due to no response.

Full Transmittal: https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R738PI.pdf

Subject: Provider Error Rate Formula

Number: 738

Title: 10210

Release Date: August 18, 2017

Effective Date: September 19, 2017

Implementation Date: September 19, 2017

Special Notes: N/A

 

  • Post author
    Lacy Gaskins