Six-week payment glitch may affect your reimbursements

Why This Topic Matters

The topic matters because a processing error may have disrupted secondary payer reimbursement for some claims, requiring manual follow-up to recover patient responsibility amounts and avoid missed or duplicate payments.

Article Sections

1. Claims processing glitch and affected reimbursements

   Overview of the Medicare Part B crossover problem and the types of reimbursements it may have affected. The section discusses the general impact on secondary payer payments and provider follow-up.

2. Identifying your affected claims

   General criteria described for recognizing potentially impacted claims by date and claim characteristics. The section focuses on how providers can narrow the claims that may need manual attention.

3. Coder's note

   Practical billing follow-up reminders related to checking whether payment was already made and ensuring supporting documentation is included when submitting claims to a secondary payer.