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- When Resubmitting Claims Can Get You in Trouble - AAPC
Incorrect data items, such as provider number, use of a modifier, or date of service You can request a reopening for minor errors such as these by contacting your MAC via telephone, in writing, or your MAC’s proprietary system, such as NGS’s NGSConnex Generally, you have one year from the remittance advice date to request a reopening
- Wiki - Medicare and Workers Comp modifier - AAPC
For us its NGSCONNEX I do a claim redetermination and upload the medical records for that Date of service and put the explanation that this DX was not related to any open WC or NF claim It takes about 60 days to get a redetermination reply but this way I know the info and proof have been uploaded directly to Medicare
- Fix Your Duplicate Claim Denial Problem with Modifiers : Compliance - AAPC
Tip 3: Don’t just resubmit to correct a denial Tip 4: Use the interactive voice response (IVR) or NGSConnex to check on current claim status Tip 5: Allow 30 days from the receipt date before addressing a concern Tip 6: Make sure your billing service clearinghouse is waiting the appropriate time frame
- Cut Duplicate Claims With This Expert Insight : Billig - AAPC
Tip: Review the basics on repeat modifiers to decrease denials If Medicare denials are piling up at your practice, you need to figure out why Duplicate claims are a common culprit, but you can sidestep this problem by following a few steps and appending the correct modifier
- Sidestep Duplicate Claim Denials by Properly Appending Repeat . . . - AAPC
Tip 3: Don’t just resubmit to correct a denial Tip 4: Use the interactive voice response (IVR) or NGSConnex to check on current claim status Tip 5: Allow 30 days from the receipt date Tip 6: Make sure your billing service clearinghouse is waiting the appropriate time frame Append Repeat Modifiers Properly
- Part B Insider (Multispecialty) Coding Alert - AAPC
Step 2: Verify the reason the initial claim was denied Step 3: Don't just resubmit to correct a denial Step 4: Use the interactive voice response (IVR) or NGSConnex to check on current claim status Step 5: Allow 30 days from the receipt date Step 6: Make sure your billing service clearinghouse is waiting the appropriate time frame
- Sidestep 4 Pitfalls When Reporting E M by Time : CPT® 2023 - AAPC
Pitfall 4 — double counting services: The flip side of pitfall 3 is adding time spent on a different billable service on the same date to the E M time For example, the E M is built into the CPT® code for many minor surgeries, so carving out time spent on that service would result in the physician getting paid twice Pay close attention to which procedure codes include the E M, and you’ll
- Duplicate Claims Can Delay Payments, Identify You As Abusive Biller . . .
However, Coleman added that if they see you are still submitting duplicate claims after the provider outreach department has spoken to you, you could be identified as an abusive biller and be investigated for fraud Sidestep Denials With Expert Advice Coleman shared some helpful tips you can follow to avoid denials in your practice Tip 1: Check your remittance advice for the previously posted
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