tci Part B Insider - 2013 Issue 23

In other news

Keep your claims processing timeline straight to stay away from prohibited actions. That’s the word from Medicare Administrative Contractor Palmetto GBA, which recently posted a corresponding note on its website. “We have seen an increase in the number of providers trying to make an adjustment to a claim after it has gone through the Redetermination process,” Palmetto says. “Providers cannot adjust anything on a claim after it has had a line adjusted through the Redetermination process, regardless of whether they are attempting to adjust the previously medically denied line or another line on the claim...

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