Gastroenterology Coding Alert

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Don't Expect Apologies When Computer Glitch Causes Denials

Medicare computer error? Here's why you need to advocate for yourself. If you've been losing Medicare reimbursement to computer hiccups at your carrier, you're not alone. Earlier this year, thousands of Medicare recipients in one state were wrongly told their benefits were being cut by $300 -- but the state decided not to notify those affected with a letter. Instead, the state only told those who called in to complain that the notification of benefit cuts they received was the result of a computer glitch. Glitches can cause erroneous denials, unnecessary rejections, lost crossover claims, and frustrating delays. But if you don't notice the glitch, you could be kissing your reimbursement goodbye. That's because the MedicareAdministrative Contractor (MAC) won't always alert you to a mistake that its computers made. "If a computer glitch was due to a widespread problem, like there was no remittance generation for an entire day, there will [...]
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