Medicare Appeals By Kellie Mattos, C.A.C. How to be a WINNER with Medicare appeals. Medicare appeals can be time-consuming and tedious with, frequently, no positive outcome for your effort. Today I am going to talk about the importance of appeals and how to win them! Anatomy of an Appeal- Time Consuming and Tedious When a […]
“Dear Santa”…a letter from the Billing Office We intercepted… It’s one of those things that happens. A piece of mail floated into our billing office mailbox just this week and behold it was a note to Santa from a billing office far, far away. Good ol’ Uncle Sam’s delivery guys saw billing on it and […]
Railroad Medicare Cites 32.6% Error Rate for Second Quarter of FY 2017 Review Complete Yesterday, Palmetto GBA, the Medicare Administrative Contractor for the Railroad Medicare program, announced that they have completed their widespread review of BLS Non-Emergency ambulance service claims from January through March of 2017. This comprises their announced review for the Second Quarter […]
When Compassion and Compliance Collide New initiatives By now many of you, especially those of you who provide scheduled, routine, non-emergency transports (ie. Dialysis, radiation, etc.) are becoming aware of a new Medicare trial initiative for pre-authorizing approval for claims submitted for these types of transports. The Centers for Medicare and Medicaid Services (CMS) chose […]
More Medicare Claim Processing Insight- Transporting ESRD Patients for Dialysis Second Week in a Row… Last week we filled this space with information from the Medicare Administrative Contractor (MAC) handling Part B claims in Ohio and Kentucky regarding their Comprehensive Error Rate Testing (CERT) findings. We provided you with a view of how the CERT […]
