tci Medicare Compliance & Reimbursement - 2007 Issue 39

BILLING: One Phone Call May Solve A Simple Mistake

Run down this quick checklist to pinpoint the reason for a denialWhen you get a denial for a claim you know Medicare should pay, use this action plan to decipher exactly what you need to do next.If you receive a denied or underpaid claim, you first have to make sure that the denial isn't a result of the way you filed the claim. To do so, follow these steps as outlined by Barbara Cobuzzi, director of outreach programs for the American Academy of Professional Coders, based in Salt Lake City:1. Read denial codes on explanation of benefits (EOB)...

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