Medicare Compliance & Reimbursement

Are you staying on top of claims submissions and appealing when you know you billed properly? Times are getting tougher for physician practices. Are you leaving money on the table? You will be if you miss billing just five services per week, warn experts. Example: "Suppose your coder falls behind on claims and leaves five new patient visits in the system, forgetting to submit them to your MAC," says Atlanta-based coding consultant Jay Neal. "Just to pick the code in the middle of the range, we'll say they were all 99203s, which reimburse about $100. You just left $500 on the table -- over the course of a year that adds up to over $25,000 that your practice could flush away." And the losses might be even worse, depending on which services your practice routinely reports. For example, if you aren't reporting your "Welcome to Medicare"visits (G0402), you're forfeiting about $150 [...]