tci ED Coding & Reimbursement Alert - 2021 Issue Q2

Reader Questions: Avoid Blanket Claim Resubmissions

Question: We have several claims that our payer is taking more than 30 days to process or that the payer has suspended for review. A colleague told me that after 30 days I should resubmit the claim to ensure that the payer received it and will process it. Is this an appropriate solution? New York Subscriber Answer: You should not submit identical, duplicate claims to payers when you don›t think you’re getting payment in a timely fashion. Duplicate billing tops most payers’ lists of billing errors. In fact, one Medicare carrier just sent a reminder to providers...

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