Automatic denials for mammo screening claims disabled

Article Overview

This article covers a Medicare Part B claims-processing problem affecting screening mammography services and other claims that were being auto-denied when certain diagnosis codes appeared on Medicare Secondary Payer records. It is relevant to billing staff, coders, and compliance teams who work with Medicare claim edits, secondary payer situations, and carrier correction processes. The article outlines the issue, the carrier/CMS response, and the general steps providers may need to take when affected claims were denied.