|Medicare Plus Blue chart reviews are now mandatory|
Remember those chart reviews performed last year by MedAssurant on behalf of Medicare Plus Blue? Most doctors cooperated but, technically, the reviews were voluntary. Combing through charts to find additional unbilled diagnoses netted Medicare Plus Blue an additional $50 million in payments from CMS so the payer decided to make the reviews mandatory as of April 1, 2009. However, the new policy has created quite a stir among Michigan physicians. Only this week, representatives of MSMS and MOS met with BCBSM and MedAssurant to voice their concern about the new policy. Stay tuned. We'll let you know if Medicare Plus Blue changes their policy.
In the meantime, you may be asked to send notes to MedAssurant in lieu of a visit by one of their reviewers. To offset this financial burden, Medicare Plus Blue will reimburse you $5 for each medical record sent to MedAssurant for review. This also applies to patients who are no longer your patients but were treated during the period under review.
To request reimbursement, you must complete a request form and attach a copy of your MedAssurant chart request letter. Click here to access form.
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