decisionhealth Newsletters, Part B News - 2002 Issue 7 (July)
Track frequency of screening mammo claims to avoid denials
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Article Overview
This article addresses screening mammography claim billing and denial trends for a physician practice and radiology coders. It discusses Medicare frequency limitations, the importance of correct diagnosis coding for screening claims, and a reported carrier denial pattern that required review by the payer.
Why This Topic Matters
It helps billing and coding professionals understand why screening mammography claims may be denied and what general compliance issues to monitor when submitting these services.
What You Will Learn
- How screening mammography claims are tracked for frequency-related denials.
- What general Medicare screening limitations are discussed in relation to these claims.
- Why certain payer denial patterns may warrant follow-up review.
- How billing and coding staff monitor common screening mammography submissions.
Who Should Read This
- Medical coders
- Billing staff
- Radiology coders
- Ob-Gyn practice managers
- Insurance specialists
Codes Discussed
Modifiers Discussed
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