DecisionHealth, DecisionHealth - 2010 Issue 7 (July)

Carriers pay claims with 2.2% hike, plan to reprocess claims paid less

Your carriers now have marching orders from CMS on how to process claims with the recently passed 2.2% payment increase and reprocess all claims that were paid with a -21.3% rate cut during the month of June. You don't need to take any action to get your claims reprocessed, but you must initiate internal controls at your practice to be sure your claims are paid at the right rate.

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