tci Medicare Compliance & Reimbursement - 2005 Issue 5

Reimbursement: Don't Bill Unless Patient Info Is Correct - And Complete

Some carriers are asking for middle initials, other dataFrequently, physicians may perform services for patients without seeing them face-to-face. In those cases, obtaining the exact information on those patients' Medicare cards is doubly important, experts say.In cases when a physician interprets electrocardiogram readings or receives lab specimens, the physician may rely on the information he or she receives from the referral source to bill Medicare. But now, more than ever, the slightest error in that information can lead to weeks of delays for the physician's claims.The reason: The Centers for Medicare & Medicaid Services has tightened requirements...

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