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Medicare Compliance & Reimbursement

Claims Errors:

This MAC Denied Over 1,200 Claims for Services Administered to Deceased Patients

Published on Fri Mar 16, 2012

Avoid these top ten Medicare errors to avoid revenue drains. What's the top tool in your arsenal to avoid claims rejections? Verify patient eligibility. That was the word from NGS Medicare's Michelle Coleman during the MAC's Feb. 16 webinar, "Minimize Errors, Maximize Revenue." Coleman not only shared the top claims submission errors submitted to NGS in December 2011, but also suggested solutions for avoiding the same mistakes. Read on for the scoop on how to keep your revenue rolling in. 1. Patients weren't covered by the MAC. NGS saw over 49,000 claims in December alone for patients not covered by the contractor. For instance, if a patient enrolled in a Medicare Advantage plan or moved across the state line, thus changing their MAC to another contractor, they were not covered by NGS and their claims were denied. Solution: Check the patient's eligibility information at every visit. "I know sometimes physicians [...]
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