tci Medicare Compliance & Reimbursement - 2007 Issue 8

BILLING ~ Heads Up: Medicare Denied Up To 300,000 Claims By Mistake

Are computer glitches eating your reimbursement? You need to be vigilant for computer billing problems at your carrier and other Medicare contractors, say experts. As long as Medicare uses computers, you suffer from technical errors -- but you can ease the headaches if you catch goofs early. Medicare recently owned up to a big computer problem, but there's no way of knowing how many other errors the carriers haven't detected yet, say experts.Gremlins in the system caused Medicare contractors to identify some patients incorrectly as belonging to Medicare managed care plans, the Centers for Medicare & Medicaid Services...

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