tci Part B Insider - 2008 Issue 11

READER QUESTION: 4 Little Numbers Could Be Sabotaging Your Claims

Question: We are getting denials from Medicare saying they can't see box 32 in our claim forms. I-ve checked the name, address and provider numbers, and they are all correct. Why are we getting these denials, and how can we avoid them? Answer: If you-re sure you-ve included the proper name, address and NPI information on the claim, you-re likely falling victim to ZIP code errors. Effective Oct. 1, 2007, CMS started requiring that you bill with a nine-digit ZIP code on claims for physicians and providers who supply services in ZIP code areas that cross payment localities.Where...

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