tci Medicare Compliance & Reimbursement - 2016 Issue 4

Industry Note: Duplicate Claims can Cause Double the Trouble

Medicare is just as eager to pay your claims as you are to collect them. That was the takeaway from CMS’ Angela James during a “CMS Provider Minute” compliance video released on Jan. 20. “When you submit a claim, Medicare pays the first submission of an approved claim, and the good news is that if you submit a clean, payable claim, you only have to do it once. In fact, we pay 90 percent of clean, payable claims within 30 days.” If you don’t collect within a month, don’t resubmit just yet. “If...

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