|REMINDER: On-Site Supplier Reviews|
REMINDER: On-Site Supplier Reviews
CMS instructs contractors to analyze provider compliance with Medicare coverage and coding rules and take appropriate corrective action when providers are found to be non-compliant. In order to meet this goal, Medicare contractors may determine that it is appropriate to conduct an on-site claim review at the supplier's place of business.
Medicare contractors may, but are not required, to provide advance notice of a supplier site review. However, any Medicare contractor staff person who visits a supplier's site must show photo identification so the supplier has verification of their affiliation with the Medicare contractor.
During a supplier site visit, the reviewers will hold entrance and exit interviews with the appropriate supplier staff. A supplier representative can also be present while the claims are being reviewed and the reviewers will answer any questions the supplier's staff may have.