System Changes to VMS to Allow DME MACs to Adjust Claims Denied as a Result of ZPIC Auto-Denial Edits to Pay After an Appeals Decision
CMS has determined that the VMS systems should allow the DME MAC to bypass auto deny edits set by the Zone Program Integrity Contractors (ZPICs) for a specific claim, rather than deactivating the auto denial edits at the risk of paying new claims.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: April 22, 2011
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