DecisionHealth, DecisionHealth - 2011 Issue 3 (March)

4 ways to protect against increase in post-pay denials for prothrombin time

You and your peers must double down on documentation for prothrombin time or risk getting costly denials thanks to a marked growth in post-payment reviews that challenge prothrombin time billing. At least three Medicare Administrative Contractors (MACs) have posted Comprehensive Error Rate Testing (CERT) findings that show a clear focus on services with physician orders, including prothrombin time.
 

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