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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