tci Medicare Compliance & Reimbursement - 2012 Issue 12

Claim Denials: Add This Top Tool To Your Toolkit and Avoid Claims Rejections

Hint: Verify patient eligibility.One handy checklist could be just what you need to keep your revenue rolling in. National Government Services (NGS) Medicare's Michelle Coleman suggested during the MAC's recent webinar, "Minimize Errors, Maximize Revenue" that benefits verification can solve a lot of your denial problems. Coleman not only shared the top claims submission errors submitted to NGS in December 2011, but also suggested these solutions for avoiding the same mistakes. 1. Check Patient EligibilityNGS saw over 49,000 claims in December alone for patients not covered by the contractor. For instance, if a patient enrolled in a...

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