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CMS Manual System Pub 100-04 Medicare Claims Processing Transmittal 1387 Mammography: Change Certification-Based Action from Return to Provider (RTP)/Return as Unprocessable to Reject/Denial

Guidance for contractors providing instructions to deny claims if the appropriate FDA certification status is not listed on the Mammography Quality Standard Act (MQSA) file instead of returning the claim to the provider/returning the claim as unprocessable.

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Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: December 07, 2007

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