tci Medicare Compliance & Reimbursement - 2010 Issue 18

Reader Questions: Catch Up on Incomplete Claims

Question:Our surgical practice has a few claims that have missing or incorrect information. I'm not sure what to do with these claims -- should I just put them through anyway and keep my fingers crossed? Answer: Trying to put through an incomplete or incorrect claim will probably result in an immediate denial, so don't waste your time doing so. Instead, put these claims on hold or suspend them, then do some homework on these claims soon. You'll be more likely to find the information you need to submit a clean claim. Claims can be held or suspended for a...

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