Does Your Documentation Support a MAC Request?
The Centers for Medicare and Medicaid (CMS) has rolled out many initiatives since the Public Health Emergency ended in May of 2023. One initiative in specific is the Skilled Nursing Facility (SNF) 5-Claim Probe and Educate Review. If you still have not seen or heard about it, and you operate a SNF, you will! The Transmittal 12037 outlines the specific probe audit. The purpose of the audit is to lower the SNF improper payment rate.…