tci Medicare Compliance & Reimbursement - 2019 Issue 6
Industry Note: Novitas Advises on Uptick in Resubmissions Denials
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Article Overview
This article summarizes a Medicare Administrative Contractor alert about a rise in improperly submitted claim resubmissions. It is aimed at billing staff and revenue cycle teams that handle Medicare Part B corrections, appeals, and adjustment-related correspondence, and it highlights the kinds of submission practices the contractor says can cause problems. The note also flags an effective date for when incorrectly submitted claims may be returned as unprocessable.
Why This Topic Matters
It helps providers and billing teams understand a contractor-level administrative issue that can affect whether a resubmitted claim is accepted for processing or sent back. The article is relevant for practices that submit Medicare Part B claims and want to stay aligned with current contractor instructions.
What You Will Learn
- Why resubmitted Medicare claims may be returned
- What types of claim submission practices are being flagged
- Which contractor guidance updates are relevant to billing workflows
- When incorrectly submitted claims may be treated as unprocessable
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle managers
- Practice administrators
- Claims processing teams
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