PR-31

Avoiding/Correcting This Error Services were denied for one or more of the following reasons: The name or Medicare number was incorrect or missing. The date of death precedes the date of service. Expenses were incurred prior to coverage. [...]

Care Coordination Services for FQHC/RHC Claims Improperly Paid

Care coordination services for FQHC and RHC providers are being reimbursed incorrectly. According to CR 13581, they should be paid at the national nonfacility fee rate, but FISS is using the facility fee rate.

Hospice Top Claim Errors

Do you see the same rejections and return to provider over and over? Do you know how to correct the most common errors and more importantly how to avoid them in the future? In this session we’ll review the most common reason codes assigned to [...]

Patient Status <6>

table, td, th table { border-collapse: collapse; width: 50%; } Patient Status <6> When Patient Status is selected, the IVR will request and collect the following information: NPI PTAN TIN Once the authentication elements [...]

Appeals <7>

table, td, th table { border-collapse: collapse; width: 50%; } Appeals <7> When the Appeals option is selected, the IVR will request and collect the following elements: Provider authentication elements: NPI PTAN TIN Note: [...]

Claim Status <2>

table, td, th table { border-collapse: collapse; width: 50%; } Claim Status <2> If you are part of a group, remember to use the group NPI, PTAN and TIN for authentication purposes. When Claim Status is selected, the IVR will [...]

Offsets <4>

table, td, th table { border-collapse: collapse; width: 50%; } Offsets <4> Upon selecting Offsets, the provider will need to authenticate the following information: NPI PTAN Last five digits of the TIN Next, a submenu will [...]

ASCA: When applying for an ASCA waiver, do I need to complete the Waiver Request form for each provider number?