Industry Notes:
Overlapping Claims Might Cause Unexpected Adjustments
Published on Thu Jan 15, 2015
Claims system overhauled to curb hospital stay, Medicare Advantage-related overpayments. If you’re trying to figure out why some of your claims aren’t paying, it may be due to two new Medicare transmittals that took effect Jan. 1. Those transmittals implement procedures that reject claims that overlap with patient stays in hospitals or for patients in managed care plans. Hospitals: Before [...]