General
Chapter 1
Section 3
Claims Auditing Software
Issue Date: September 25, 1991
Revision:
1.0 POLICY
The contractor shall use a claims auditing
software (Claimcheck® or equivalent) to ensure correct coding on
all claims. It is the contractor’s responsibility to obtain the
materials necessary to use the software, including any updates.
Claims processed under the Outpatient Prospective Payment System
(OPPS) are not subject to this software.
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