tci Part B Insider - 2013 Issue 7

Billing: One Billing Question, 4 Steps to Resolution

Don’t take appeals at face value--research before you write off. It happens to every coder at least once: You bill a claim in your normal fashion, and are stumped when an unexpected denial comes back to you. When this happens, you may need to take a multi-step approach to remedying the claim--and even if you can’t recoup your charges this time, you’ll know how handle future, similar claims to ensure that you collect what you deserve. Case in point: A subscriber wrote to report that she billed a claim to Medicare with a physician’s assistant...

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