tci Part B Insider - 2007 Issue 5

REIMBURSEMENT: Are Your Claims On This Carrier's Greatest Hits List?

Update your modifier list, and check your provider's enrollment datesThis 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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