May 12, 2014
NGS Announces Prepayment Review for Specific Evaluation and Management Services
National Government Services (NGS) recently announced it will conduct prepayment reviews on claims for higher level Evaluation and Management (E/M) codes for both inpatient and office services. NGS states that the results of these reviews will serve as the starting point for provider-education materials. If you receive a request for documentation, please make sure to address it promptly. You will have 30 days to respond. Click here for a memo on the prepayment review, as well as a full list of ASA Payment and Practice Management department memos.