tci Part B Insider - 2012 Issue 23

Denial Management: Avoid Claim Rejections by Checking Practitioner Specialty Code

Plus: Medicare's one-year payment window causing massive headaches.If you report a new patient code and your MAC rejects it, stating that the patient is already established at your practice, you could be facing a problem that began when you enrolled your physician in Medicare. Doctors who are assigned to the wrong specialties in Medicare's systems can create a host of billing problems down the line.That's the word from a June 27 NGS Medicare "Ask the Contractor" teleconference, in which a caller presented the following scenario: Her internal medicine physician saw a new patient and reported a code...

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