tci Medicare Compliance & Reimbursement - 2009 Issue 20

REIMBURSEMENT: 7 Tips Help You Avoid Computer Claim Casualties

Pay attention to EOBs and keep talking to your MAC. You could be losing money to a computer glitch and not know it, experts say. If you don't nip a computer glitch in the bud, you may be plagued with improper denials and other claim holdups. Here are seven things you can do to seek out and solve glitch-related problems:1. Eyeball Your EOBs Watch your explanation of benefits (EOB) forms, and keep your eyes open for denials and downcodes that don't look correct.2. Check Your A/R Always review your accounts receivable (A/R) to ensure that you've received the...

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