• How to Correctly Fill Documentation Requests


    Medicare Administrative Contractors report receiving duplicate claim submissions rather than the actual documentation requested. When documentation from the medical record is requested, follow your MACs guidelines for appropriate submission.

    If you resend the claim a second time, your MAC will deny it. According to CMS, you cannot appeal denials under these circumstances.

    Be sure to follow the remittance advice so that your claims are processed in a timely manner to avoid even further payment delays.  

    Learn more about how to correctly document claims in Ophthalmic Coding: Learn to Code the Essentials and in our ICD-10-CM section.