decisionhealth Newsletters, Answer Books - 2008 Issue 5 (May)
Answer_Book / Death_Disability_of_a_Patient / When_a_patient_dies_before_a_claim_is_settled
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Article Overview
This premium article covers Medicare claim handling when a patient dies before a claim is settled. It is aimed at coders, billers, and suppliers who need to understand the general billing process for assigned and non-assigned claims, along with a special note about custom-made items. The discussion references Medicare manual guidance and focuses on high-level claim administration considerations rather than code-level detail.
Why This Topic Matters
These situations can affect whether a provider or supplier can still be paid, how the claim is submitted, and who may be billed after a patient’s death. Understanding the general policy helps reduce claim delays and improper billing after a patient dies.
What You Will Learn
- How Medicare claim settlement may be handled after a patient’s death
- How assigned and non-assigned claims differ in this context
- What general billing considerations apply to custom-made items when a patient dies or cancels an order
- How Medicare manual guidance is referenced in this topic
Who Should Read This
- Medical billers
- Medical coders
- Durable medical equipment suppliers
- Provider office staff
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