tci Medicare Compliance & Reimbursement - 2011 Issue 10

Medicare Claims Errors: Part B Practices Still Making Modifier, Timely Filing Mistakes, One MAC Says

Don't avoid checking LCDs to find out your MAC's rules. Appending modifier 59 to all of your claims willy-nilly to ensure that they go through will not get you paid faster in the long run -- it will have you seeing denials. That's the word from NGS Medicare's April 27 webinar, "Avoiding the Top Part B Claim Submission Errors," which focused on the main errors addressed by NGS Medicare, a Part B MAC in four states. Use Modifiers Properly Practices often submit claims with coding errors that cause claim denials and/or delays, and many of those involve improperly...

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