What We’re Reading – Preventing duplicate claim denials

Are you experiencing more claims denials as duplicates recently?  Make sure that your billing staff and/or billing company are aware that effective July 1, 2013, The Centers for Medicare & Medicaid Services (CMS) instituted new claim edits.  All claims received are now reviewed against any and all “paid, finalized, pending and same claim details,” looking for any duplication submitted without the appropriate modifiers.

This article gives a few examples of those modifiers and when to use them.  Save yourself time and money in the long run by reviewing your claims to make sure they’re not being denied for this reason.

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