tci Medicare Compliance & Reimbursement - 2013 Issue 8

Billing: Collect What You Deserve With This 4 Step Approach

Deal with unexpected denials by first checking the regs. You can’t afford to write off deserved reimbursement every time you are faced with a denial. Take control and apply these basic strategies to recover your pay. Tip: Take a hard look at incident-to requirements and the carrier’s rules for mid-level providers to avoid having to eat the balance. Case in point: A subscriber wrote to report that she billed a claim to Medicare with a physician’s assistant (PA) listed on the claim as the provider. The secondary insurer denied the claim since they do not recognize...

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