tci Medicare Compliance & Reimbursement - 2018 Issue 10

Compliance: Utilize This MAC's Top 2018 Denial Reasons for Clean Claims

Hint: Keep on top of annual code revisions to avoid returns. Is your practice seeing more denials than usual, and you can't figure out why? Perhaps, it's time to look into a few potential culprits. Part B payer Palmetto GBA recently released several articles profiling the most common reasons for claim denials. We've gone through the issues that the MAC has highlighted as being problematic in 2018. Read on to see which issues are on auditors' radar screens, and how you can avoid them. 1. Procedure Code Was Invalid on the Date of Service. Naturally, every coder is eager...

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