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No Documentation and Identifying medical denials for flagged claims for Recovery and Auditor Reviews

CMS has withdrawn Transmittal 1483 which was dated Mrch 31, 2015. They replaced this with Transmittal 1625. This is to make it consistent with the direction given to CR 9215. More specifically this updates BR 8913.2. All additional info remains the same.

Originally allowance provided a Recovery Audit specific, no documentation reason “code” for the MAC’s to attach to a prepayment claim denial.