An invalid Notice of Election (NOE) accounted for 45% of all targeted probe and educate denials by Medicare Administrative Contractor CGS in the first three months of 2023.
Industry experts encourage providers to use model examples of compliant NOEs to avoid denials.
“Terminal prognosis not supported” was a close second with 38.7%. Far less common, but still among the top five reasons, were "face-to-face encounter invalid," "medical records not received" and "physician narrative missing/invalid."