tci Part B Insider - 2012 Issue 37

Physician Note: Expect More Consolidated Billing Woes From This MAC

Plus: HIPAA breach costs one practice $1.5 million.Consolidated billing is difficult as it is, but when a MAC makes an error in processing claims, those issues can balloon and create problems for your cash flow. Unfortunately, one MAC has discovered such a problem, but on the bright side, the contractor is already trying to fix it.NGS Medicare, a Part B provider in Connecticut and New York, announced on Oct. 9 that it was incorrectly denying some services that are excluded from consolidated billing. On those claims, the reason code is "109: Claim not covered by this...

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