CMS: Missing Certification, Recertification Statements Major Reason for Claim Denial

According to a new memo from CMS, a major reason for claims being denied is failure to obtain certification and recertification statements from physicians or NPPs.

The memo outlines the components of acceptable certification and recertification statements. It also includes information on how and when to document the certification and recertification statements. CMS encourages billing staff to be made aware of these requirements.

To read the memo, click here.