tci Part B Insider - 2007 Issue 33

Run Down This Quick Checklist to Pinpoint Denial's Reason

1 phone call may solve a simple mistakeWhen you get a denial for a claim you know Medicare should pay, use this action plan to decipher exactly what you need to do next. Put This Checklist To Work For You If you receive a denied or underpaid claim, you first have to make sure that the denial isn't a result of the way you filed the claim. To do so, follow these steps as outlined by Barbara Cobuzzi, director of outreach programs for the American Academy of Professional Coders, based in Salt Lake City:1. Read denial codes on explanation...

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