tci Medicare Compliance & Reimbursement - 2018 Issue 5

Billing: Clean Up Your Claims with Targeted Queries

Hint: Put your query in writing to avoid confusion. Subpar documentation ranks among the top reasons for Medicare claims denials. Sometimes reports contain conflicting statements, or the notes are missing information that is critical to selecting an appropriate code. And more often than not, it is simply the case of illegible handwriting that leads the coders and billers to input the incorrect code. These are all cases that might warrant a "query" to the physician, so that you can update the medical record to accurately reflect the situation. Read on for some tips to improve your query process. What...

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