decisionhealth Newsletters, Part B News - 2010 Issue 5 (May)
Highmark processes claims with 21% cut
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Article Overview
This article reports on a Medicare claims processing issue involving Highmark, the Medicare Administrative Carrier for several jurisdictions. It explains the general nature of the payment error, the affected dates of service, and the carrier’s plan to correct impacted claims. The piece is relevant to physician billing staff, revenue cycle teams, and Medicare billing professionals monitoring claim status and reprocessing activity.
Why This Topic Matters
Billing and revenue cycle teams need to know when a Medicare carrier processing problem may have affected payments so they can monitor accounts receivable and confirm that claims are corrected. The article highlights why internal tracking and payer follow-up matter when a carrier reprocesses claims after a system error.
What You Will Learn
- How a Medicare claims processing error can affect payment processing
- Why billing teams may need to monitor accounts receivable during carrier reprocessing
- What general information is available about the affected carrier and time period
- How providers can stay alert for corrected claim activity
Who Should Read This
- Physician billing staff
- Hospital revenue cycle teams
- Medicare billing professionals
- Practice managers
- Compliance and reimbursement staff
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