DecisionHealth, DecisionHealth - 2023 Issue 2 (February)

Stay in place: Payer place of service errors spark observation claim denials

If you experienced a recent surge of denials for observation visits, a payer error could be to blame. Four Medicare administrative contractors (MAC) have announced that they improperly denied claims for hospital inpatient and observation care codes and are working on the problem. The error affects claims for observation visits performed on or after Jan. 1 and is triggered by the place of service (POS) on the claim.

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