Keep your critical coding and billing tools with you no matter where you work.
Create your Find-A-Code account today!
tci Part B Insider - 2013 Issue 14
Denial Management: Could You Afford to Have 1.85 Percent of Your Claims Denied?
Many practices still skirting PECOS regs, one MAC finds
You have only a few weeks to get your act together for the next phase of referring physician edits, or you’ll face major reimbursement woes.
Background: Back in 2009, CMSimplemented edits that can detect when claims contained an invalid ordering or referring provider. Under the edits, the ordering physician must have a valid National Provider Identifier (NPI) number and be enrolled in Medicare’s Internet-based Provider Enrollment, Chain, and Ownership System (PECOS).
But the first phase of edits has been informational only, so claims still pay even if the...
To read the full article, sign in and subscribe to tci Part B Insider.
Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.
Current newsletters added each month
Fully searchable archives - over 4800 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
This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.