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Claims Rejection and Denials for Providers on the Preclusion List Started on April 1, 2019

Posted on Friday, April 5, 2019 1:36 PM

Effective April 1, 2019, Medicare Advantage (MA) and Part D plans will begin rejecting or denying claims submitted for payment for Part D drugs and MA services and items prescribed or furnished by an individual or entity on the Preclusion List. This effort supports CMS’ commitment to safeguarding patients and taxpayer funding.   

The preclusion list is made up of entities that either are revoked from Medicare or have acting in a way in which CMS could have revoked.

Click here for the press release.

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