decisionhealth Newsletters, Part B News - 2007 Issue 10 (October)
Radiology claims: Find how to get paid for incorrect denials; Ask carrier to fix radiology claims incorrectly denied
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Article Overview
This piece is for radiology billing and coding professionals dealing with Medicare claim denials that were later tied to a carrier processing change. It summarizes the issue at a high level, notes the CMS transmittals involved, and explains that some affected claims may need carrier review so they can be reprocessed correctly. The article also points to the type of denial message that may appear and gives context about the scope of the problem.
Why This Topic Matters
Correcting improper denials helps radiology practices recover payment for legitimate services and identify claims affected by a temporary Medicare processing change.
What You Will Learn
- What prompted certain radiology claims to be denied
- How the article frames the affected claim category
- Why some previously denied claims may need carrier review
- What general timing issue is described for claim processing
- What type of denial message may be associated with the issue
Who Should Read This
- Radiology billers
- Medical coders
- Revenue cycle staff
- Medicare claims specialists
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