OIG Roundtable Podcast
OIG Roundtable (Formerly Retro Fraud)
Episode 96: Companion Document Retrieval Challenges
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Eric, Wade and Matt discuss the challenges of recovering records for ancillary services. In this episode, we discuss the CMS requirement that ancillary providers obtain medical records for diagnostic and other tests to support medical necessity for that test. This can be a challenge in the SIU space, and data can help overcome the lack of provided documents from a pre or post pay review.