Billing Beat

Claim Rejection and Denials for Providers on the Preclusion List to Begin on April 1, 2019

May 2, 2019

Effective April 1, 2019, Medicare Advantage (MA) and Part D plans will begin rejecting or denying claims submitted for payment for Part D drugs and MA services and items prescribed or furnished by an individual or entity on the Preclusion List. This effort supports CMS’ commitment to safeguarding patients and taxpayer funding.

Source: https://www.cms.gov/newsroom/fact-sheets/claim-rejection-and-denials-providers-preclusion-list-begin-april-1-2019

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