Update to 46.2, 46.3, 46.4, and 46.5 in Publication (Pub.) 100-08

MLN Matters Number: MM11242
Related CR Release Date: May 31, 2019
Related CR Transmittal Number: R884PI
Related Change Request (CR) Number: 11242
Effective Date: August 30, 2019
Implementation Date: August 30, 2019

The Centers for Medicare & Medicaid Services (CMS) initiated CR11242 after consultations with the following contractor types:

  • DME MACs
  • Recovery Audit Contractors
  • Comprehensive Error Rate Testing (CERT) contractor
  • Supplemental Medical Review Contractor (SMRC)

These contractors provided input regarding the content and format of Additional Documentation Request (ADR) Letters to produce uniformity among the letters. CMS collected this information to create and deliver more recognizable and understandable ADR letters to providers. Make sure your billing staffs are aware of these changes.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)11242.

Last Updated Jun 04, 2019