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MLN Provider Compliance

Medicare Learning Network

FAST FACT

Suppliers are reminded to sign their redetermination request forms.  Digital signatures are not acceptable, per the Internet-Only Manuals (IOM).  CMS has provided guidelines on the required information, including the signature of the requesting party, in the Medicare Claims Processing Manual, Chapter 29, Appeals of Claims Decisions, Section 310.1, Filing a Request for Redeterminations.

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The Medicare Learning Network® (MLN) Products Provider Compliance page contains educational products that inform Medicare Fee-For-Service (FFS) providers on how to avoid common billing errors and other improper activities when dealing with the Medicare Program. CMS’ claim review program’s overall goal is to reduce improper payment error by identifying and addressing coverage and coding billing errors. Since 1996, CMS has implemented several initiatives: to prevent improper payments before a claim is processed; and to identify, and recoup improper payments after the claim is processed.

The Downloads section contains MLN products, MLN Matters® Articles, and the “Medicare Quarterly Provider Compliance Newsletter” which have been designed to provide education on common billing errors and other improper activities. These lists, as well as other information in the Downloads and Related Links section, are updated as new products and articles are developed and existing products and articles are revised.

If you would like to contact the MLN, please e-mail us at MLN@cms.hhs.gov.