Our Products can help your organization stay educated and compliant. Shop Now >

Insights

CMS Stipulates Credentials of Medical Reviewers

Posted on Friday, September 28, 2018 6:59 PM

This week, CMS released Change Request 10909, which requires that the Medicare medical record review contractors ensure medical review audits are conducted by registered nurses, therapist or physicians.  Current LPNs may be grandfathered in and be allowed to continue to perform medical review, but no new LPNs can be hired to perform medical review.

The requirement applies to the Medicare Administrative Contractors (MACs), the Comprehensive error Rate Testing Contractors (CERT), the Recovery Audit Contractors (RACs), the Supplemental Medical, Review Contractors (SMRCs), and the Zone/Unified Program Integrity Contractors (ZPICs/UPICs).

Source: NAHC


About Corridor

Corridor is a trusted home health and hospice consulting partner to agencies both large and small. We provide the most up-to-date comprehensive homecare industry educational resources and consulting available.

We specialize in delivering better revenue cycle management solutions, coding and documentation review services, regulatory compliance, and healthcare consulting.

For the most important industry updates and news that impacts home health and hospice, please make sure to sign up for our weekly newsletter to receive the latest up-to-date industry information direct to your inbox!

For additional information, please contact Corridor at 1-866-263-3795

Go Back