tci ED Coding & Reimbursement Alert - 2018 Issue 7

Claim Denials: Compare Your Claims Against This MAC's Top Denial Reasons

Hint: Some codes have prerequisites before you can report them. Denials happen to every ED, but if the problem seems to have escalated recently at your practice, it may be time to review a few potential reasons. Part B payer Palmetto GBA recently released several articles profiling the most common reasons for claim denials. We've gone through the issues that the MAC has highlighted as being problematic in 2018 and matched them to services that EDs frequently perform. Read on to see which issues are on auditors' radar screens, and how you can avoid them. 1. Procedure Code Was...

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