decisionhealth Newsletters, Part B News - 2013 Issue 11 (November)
NGS launches mass claims adjustments for incorrectly rejected Part B claims
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Article Overview
This brief covers a National Government Services Medicare Part B claims-processing problem affecting providers in Jurisdiction 6. It is relevant to billing and reimbursement staff who need to know which broad CPT and HCPCS code groupings were involved, the time frame of affected claims, and the fact that adjustments were being issued after the error was resolved.
Why This Topic Matters
Providers and billing teams serving affected Medicare Part B beneficiaries may need to monitor adjustments and review claims history for the impacted date range. The article helps readers quickly determine whether their organization billed within the affected service categories and should pay attention to contractor communications.
What You Will Learn
- The scope of a Medicare Part B claims adjustment issue handled by a contractor
- Which broad procedure categories were implicated in the rejection problem
- The general time frame and jurisdiction affected by the claims-processing error
- How the article frames the operational impact for providers and billing staff
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle managers
- Compliance staff
- Healthcare providers
- Medicare claims specialists
Codes Discussed
Code Ranges Discussed
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