tci Part B Insider - 2005 Issue 9

ONCOLOGY: Split Chemo Claims Tear A Hole In Your Reimbursement

Cancer providers need to bill more codes than one claim can handleA software glitch could be causing delays and costly denials for oncologists.The problem: At some point during claims processing, carriers' systems are splitting single claims into two or more claims - and this is causing denials and hold-ups. Because oncologists have to bill for new chemotherapy administration codes, drug codes, E/M visits, and the new chemotherapy demonstration project codes, the risk of carriers splitting claims is pretty high, say experts. The split claims are causing trouble in a few ways: If you bill using a not otherwise...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.