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Medicare Compliance & Reimbursement

REIMBURSEMENT:

7 Tips Help You Avoid Computer Claim Casualties

Published on Tue Sep 22, 2009

Pay attention to EOBs and keep talking to your MAC. You could be losing money to a computer glitch and not know it, experts say. If you don't nip a computer glitch in the bud, you may be plagued with improper denials and other claim holdups. Here are seven things you can do to seek out and solve glitch-related problems: 1. Eyeball Your EOBs Watch your explanation of benefits (EOB) forms, and keep your eyes open for denials and downcodes that don't look correct. 2. Check Your A/R Always review your accounts receivable (A/R) to ensure that you've received the payments you're due. If a computer glitch kept your MAC from paying you, don't hesitate to point it out to the payer. "If we have any claims outstanding for 30 days that we sent electronically to that carrier, we contact the carrier right away," says Ginny McManus, billing manager with [...]
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