tci Medicare Compliance & Reimbursement - 2019 Issue Q4

Compliance: Follow These 7 Tips to Reduce Denials

Sidestep common issues with expert advice. Despite efforts to reduce administrative burdens, the claims submissions process can be overwhelming. And that’s why many practices have issues getting their claims paid by payers — but from the payers’ perspective, providers may not be dotting the requisite i’s or crossing the t’s. Payers aren’t seeing much of a learning curve in terms of how providers prepare claims, so the denials keep coming, says Terry Fletcher, BS, CPC, CCC, CEMC, CCS, CCS-P, CMC, CMCSC, CMCS, ACS-CA, SCP-CA, owner of Terry Fletcher Consulting Inc. and consultant, auditor, educator, author...

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