Medicare Compliance & Reimbursement
Novitas Advises on Uptick in Resubmissions Denials
Corrections’ requests for resubmitted claims are becoming a problem, one Medicare Administrative Contractor (MAC) says. “Resubmissions of previously processed claims requesting a correction to the claim” are on the rise, indicates the Part B MAC Novitas Solutions. The Medicare carrier advises practices to not add a cover letter to their correspondences, “highlight or circle” pieces of the claim, or input “extraneous statements” to the submission. These unnecessary additions don’t help the resubmission process, but rather impede it. “Requests received with these errors will be interpreted as indications that you may be seeking an adjustment or an appeal, and the receipts will be returned to you to file a proper request for adjustment or appeal,” the MAC warns. Before resubmitting a claim, Novitas suggests that providers and their staffs revisit the MAC’s documentation advice. Warning: The MAC will return incorrectly submitted claims received on and/or after May 1, 2019 as unprocessable. Read the MAC release at www.novitas-solutions.com/webcenter/portal/MedicareJL/pagebyid?centerWidth=100%&contentId=00200106&leftWidth=0%&rightWidth=0%&showFooter=false&showHeader=false&_adf.ctrl-state=12ybhcaxzf_4&_afrLoop=484711202614043#.
Medicare Compliance & Reimbursement
- Part B Statistics:
New CBR Targets Family Practice and E/M Office Visits
Find out where your code usage fits into the stats. If you worry that your [...] - See If Your State Topped the National Averages
Plus: E/M services still on TPE checklists. With Medicare claims reviews coming at you from [...] - E/M Coding:
Boost Claims Accuracy With CBR Insights
Tip: Benchmark your stats against those of other specialists to fix E/M faults. Denial rates [...] - HIPAA:
HIPAA Enforcement Reached New Heights in 2018
Hint: Breaches drew huge penalties for risk assessment fails. If 2018 taught providers anything, it’s [...] - Reader Question:
Master New Physician Billing With These Tips
Question: A new physician started at our practice, but she hasn’t received her insurance credentialing [...] - Industry Note:
Be Part of the PI Measures Decision-Making
CMS wants to hear how you think the Promoting Interoperability (PI) program should proceed. Remember: [...] - Industry Note:
Novitas Advises on Uptick in Resubmissions Denials
Corrections’ requests for resubmitted claims are becoming a problem, one Medicare Administrative Contractor (MAC) says. [...] - Industry Note:
AMA Gets in on States' Lawsuit Against Feds Over Title X Gag Rule
On Feb. 22, HHS issued a final rule in the Federal Register that upends the [...]
