tci General Surgery Coding Alert - 2004 Issue 4

Read EOBs Before Responding to Denials

What 'noncovered service' really means to your officeYou can't streamline your appeals process unless you can decipher explanations of benefits (EOBs). Review these common EOB denials and the proper responses to them. Details come from Thomas Kent, CPC, CMM, president of Kent Medical Management in Dunkirk, Md. Denial: Noncovered service Response: Bill the patient; no appeals necessary. This is the simplest denial to handle, because it doesn't require you to deal with the carrier. A noncovered denial means that according to the patient-insurer contract, the insurance won't cover the patient's cost for this service. When you see this EOB...

To read the full article, sign in and subscribe to tci General Surgery Coding Alert.


Leverage vital, to-the-point monthly guidance to boost your reporting accuracy and your coding know-how. We make it convenient for your team to stay informed, compliant, and profitable with a subscription to TCI’s General Surgery Coding Alert.

  • Current newsletters added each month
  • Fully searchable archives - over 2100 articles
  • ALL years/issues back to 1999 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci General Surgery Coding Alert +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.