tci Medicare Compliance & Reimbursement - 2019 Issue Q4

Reimbursement: Q&A: Avoid 5 Common Claims Conundrums

Hint: Know the interest accrual rules on overpayments. As your practice updates its coding and billing protocols for 2020, it’s a great time to review Medicare’s rules. Ask yourself these five questions and review the answers to keep your reimbursement in line next year. 1: Understand Unprocessable Claims Question: Your claim is rejected and you receive an MA130 denial message. What does that mean? Answer: “Your claim was rejected because it contained invalid or incomplete information,” says Gail O’Leary, a provider outreach and education consultant with Part B MAC NGS Medicare in the webinar...

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