tci Medicare Compliance & Reimbursement - 2012 Issue 17

Reimbursement: Eradicate Denials Caused By These Obsolete Billing Practices

Stay abreast of changes and secure a healthy bottom line.You want to avoid these three mistakes which could be leading to regular denials -- and chargebacks. While it is comfortable to tread the beaten path, you also need to be certain that it does not lead away from your goal, which is to ethically maximize reimbursement.1. Still Reporting Consults to Part B. If you still submit claims for consultation codes to a Part B payer, you're probably seeing denials every day.Background: Effective January 1, 2010, CMS eliminated payment for the use of all consultation codes (99251-99255...

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