adjustments

  1. A

    Retro Claim Reimbursement

    I have been searching and searching for information on how retroactive claim adjustments should be handled by managed care plans. When Medi-Cal retro's the DME supplies or Radiology codes, the effective date went back over 6 months to a year... Is there any guidance or rules on how MCPs are to...
  2. L

    Billing Private fees

    We are trying to make a case to always bill our private fee schedule. Many of our doctors don't want to see adjustments. Any info you have would be appreciated.
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