tci Medicare Compliance & Reimbursement - 2021 Issue Q3

Medicare Appeals: Augment Your Appeals Success With These 5 Steps

Tip: Don’t forget about NCCI edits. One of the benefits of being a Medicare provider is that you are allowed to appeal claims decisions you disagree with. However, if you lose more appeals than you win, you may be missing some key steps. Brush up on some of the basics to bolster your success rate. That was the word from Jazz Harrison, senior provider education consultant with Part B Medicare Administrative Contractor (MAC) Palmetto GBA, during the payer’s presentation, “Why Deny?” Consider adding these five steps to your Medicare Part B appeals wheelhouse to boost...

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