tci Medicare Compliance & Reimbursement - 2007 Issue 8

REIMBURSEMENT ~ Update Your Modifier List And Check Your Enrollment Dates

Your claims could be on this carrier's greatest hits list.This is one "top 10" chart you don't want to find your services on. Part B carrier Trailblazer Health Enterprises issued its list of the most common denial reasons for the fourth quarter of 2006. Use the following checklist to avoid familiar pitfalls:1) Duplicate claims in which you have resubmitted a claim that the carrier already processed and made a zero payment on because of a denial or because the patient hadn't met his deductible. Or else, you may have "automatically" resubmitted the claim if you hadn't received payment...

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