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Billed Less Than Allowed

  1. Question Billed Less Than Allowed
    Medical Coding Books
    Just started at a new practice and I discovered that for the year 2010 all that the billed amount on all cpt codes to Medicare were less than the allowed amount. I have corrected the billed amount. Would it be wise to submit reopenings to Medicare for all these claims and requesting the billed amount be corrected?

  2. #2
    Location
    Charleston, South Carolina
    Posts
    641
    Default
    It sounds like the first thing you should do is review and/or revise your fee schedule. You are leaving money on the table.
    Machelle Morningstar, CPC, COC, CEMC, COSC
    AHIMA Approved ICD-10-CM/PCS Trainer

  3. #3
    Location
    Nashville, TN
    Posts
    39
    Default
    I would first determine how much revenue was lost and then present the amount to the physician and let him decide.
    Len Hales, RN, BSN, CPC

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