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Medical Review Audits During COVID-19

Dan Ciolek

AHCA is aware that several members are receiving additional development review (ADR) medical review documentation requests for Medicare Part A, Part B, and Medicare Advantage (MA) services from Medicare contractors and MA plans. Such requests have a limited response time and often require front-line clinical staff to provide the supporting documentation. While AHCA is awaiting clarification from CMS about possible audit relief, we recommend that providers receiving any ADRs immediately contact the contractor or MA plan and request an extension due to the COVID-19 crisis.   

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