Part B Insider (Multispecialty) Coding Alert
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Keep your claims processing timeline straight to stay away from prohibited actions. That’s the word from Medicare Administrative Contractor Palmetto GBA, which recently posted a corresponding note on its website. “We have seen an increase in the number of providers trying to make an adjustment to a claim after it has gone through the Redetermination process,” Palmetto says. “Providers cannot adjust anything on a claim after it has had a line adjusted through the Redetermination process, regardless of whether they are attempting to adjust the previously medically denied line or another line on the claim.”
Bottom line: “All needed adjustments to the claim must occur prior to the Redetermination process,” Palmetto reminds providers.
Part B Insider (Multispecialty) Coding Alert
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