Arrow Fat Left Icon Arrow Fat Right Icon Arrow Right Icon Cart Icon Close Circle Icon Expand Arrows Icon Facebook Icon Twitter Icon Youtube Icon Hamburger Icon Information Icon Down Arrow Icon Mail Icon Mini Cart Icon Person Icon Ruler Icon Search Icon Shirt Icon Triangle Icon Bag Icon Play Video
We've Moved! Coding Leader is now Healthcare Training Leader. Visit us at www.HCTrainingLeader.com We've Moved! Coding Leader is now Healthcare Training Leader. Visit us at www.HCTrainingLeader.com

Overpayment Related Denials

The Centers for Medicare & Medicaid Services (CMS) requests Medicare Administrative Contractors (MACs) utilize provided rules for the Healthcare Integrated General Ledger Accounting System under Code of Federal Regulation (CFR) § 424.530(a)(6)(i), related to overpayment-related denials. A Change Request from CMS defines suppliers and identifies criteria for resolving denial situations.

Full Transmittal: https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R1912OTN.pdf

Subject: HIGLAS Enhancement Required for Implementation of Overpayment based Denials

Number: 1912

Title: 10166

Release Date: September 1, 2017

Effective Date: April 1, 2018

Implementation Date: April 2, 2018

Special Notes: N/A

 

  • Post author
    Lacy Gaskins