Part B Insider (Multispecialty) Coding Alert
In other news
Keep your claims processing timeline straight to stay away from prohibited actions. That’s the word from Medicare Administrative Contractor Palmetto GBA, which recently posted a corresponding note on its website. “We have seen an increase in the number of providers trying to make an adjustment to a claim after it has gone through the Redetermination process,” Palmetto says. “Providers cannot adjust anything on a claim after it has had a line adjusted through the Redetermination process, regardless of whether they are attempting to adjust the previously medically denied line or another line on the claim.”
Bottom line: “All needed adjustments to the claim must occur prior to the Redetermination process,” Palmetto reminds providers.
Part B Insider (Multispecialty) Coding Alert
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