tci Part B Insider - 2004 Issue 37

Billing: Don't Remain In The Dark On Billing Trends

A monthly report can make the difference between failure and successRecently, Phyllis Yingling discovered a major billing problem, and many providers could learn from her story. The Problem Medicare had made a change to its claims processing program and was no longer compatible with the clearinghouse Yingling was using. Consequently, Medicare wasn't processing any claims from late July, notes Yingling, a management consultant with Hilton Head, SC-based Apple a Day.Luckily, Yingling detected the problem in early August by examining payments and then tracing claims to discover that they weren't even in Medicare's system. But if she...

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