Thursday, November 28, 2019

The article is about how doctors also billers can Essays

The article is about how doctor's also billers can submit clean claims, along with correct doctor's information, such as, NPI number. When supplying the wrong NPI the claim will be kicked back and be unpaid. On the CMS-1500 some people will put information in the wrong slot which would allow the claim to be denied and kicked back also. In the article the reimbursement commit came up with modifiers. In which a CPT code along with clinical are provided so that the procedure can get approved with accuracy. The article also stated how lost claims are less controllable. However, since more doctors moved from paper claims to electronic claims it is easier to track a lost claim. Paper claims sometimes got lost in the mail and electronic claims sometimes got lost in cyberspace but noted in the article it very seldom get lost as an electronic claim. The ACA is a coding and compliance manual that cost about $50 for member and $80 for non-member which helps/teachers providers and they staff how to submit clean claims. They also emails to provider and their staff to keep them updated on the coding and claim processing. I think that this resource was a good ideas and hopefully has alleviated the problem of providers not getting paid on time.

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