Hint: Benefits verification can solve a lot of your denial problems. What's the top tool in your arsenal to avoid claims rejections? Verify patient eligibility. That was the word from National Government Services (NGS) Medicare's Michelle Coleman during the MAC's recent 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. Check Patient Eligibility 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: 2. Include All Necessary Details NGS also saw scores of denials for claims that lacked information that the MAC needed to process the claim. Solution: 3. Pay Attention to Filing Deadlines NGS saw claims for which the time limit for filing the claim had expired. "We had 37,427 claims with this denial in December, and it's a pretty simple one to fix," Coleman said. Solution: 4. Screen Patients During Registration Practices submitted 17,959 claims to NGS in December that fell under the error: Patient cannot be identified as the MAC's insured. Solution: 5. Ensure Provider Can Actually Bill the Payer NGS processed 13,000 claims in December with this error code: The provider was not eligible to collect for the procedure on the service date. For instance, the provider's NPI was expired, or the claim was submitted under an individual's PTAN that was registered as a rendering provider but not a billing provider. Solution: 6. Watch Your Modifiers NGS saw over 12,000 claims in December that were denied because the procedure code was inconsistent with the modifier used or the modifier was missing. Solution: 7. Avoid Billing Non-Covered Services In December, NGS processed over 5,000 claims that were billing non-covered charges. Solution: 8. Support Medical Necessity With Proper ICD-9 Codes NGS also saw claims denials because the service was not deemed a "medical necessity" by the payer. "This usually has something to do with the diagnosis," Coleman said. Solution: 9. Remember that DOS Matters NGS saw 1,252 claims in December in which the date of death preceded the service date. Solution: 10. Beware of WC Claim Differences The tenth error Coleman addressed were claims that represented a work-related injury or illness and were therefore the liability of the workers' compensation carrier. Solution: "Keep in mind that when we look at our eligibility information for the patient, we're getting it from a common working file, which all the carriers have access to," Coleman said. "So if that information isn't sent over to the common working file, we can't update the records. What sometimes happens is that a patient maybe has a liability case open. The patient may have closed it, but if the information isn't showing in the common working file, we deny the claim."