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Medical Review of PWK (paperwork

Contractors are only required to review unsolicited documentation when the claim suspends for a medical review edit/audit. Contractors shall wait 7-10 calendar days for claims before reviewing claims with a PWK modifier.

Download the Guidance Document

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

Issue Date: November 02, 2011

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.