tci Medicare Compliance & Reimbursement - 2021 Issue Q3

Reader Question: Steer Clear of Blanket Claim Resubmissions

Question: We have several claims that our payer is taking more than 30 days to process or that the payer has suspended for review. A colleague told me that after 30 days I should resubmit the claim to ensure that the payer received it and will process it. Is this an appropriate solution? New Jersey Subscriber Answer: You should not submit identical, duplicate claims to payers when you don’t think you’re getting payment in a timely fashion. Duplicate billing tops most payers’ lists of billing errors. In fact, one Medicare carrier just sent a reminder to providers...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.


Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Medicare Compliance & Reimbursement +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.