10/09/2018

Top 5 Medicare Claim mistakes

Not the primary Insurer

This one can be easy to overlook so be careful to make sure your company is the primary insurer for Medicare. Have a co-worker double check your claim before sending it off, two pairs of eyes are always better than one.


Correct name & date of birth

Always double check to make sure your patient's name and date of birth match with Medicare's records. This sounds like a simple thing but I can't tell you the number of times this has happened to people. Make it a habit to always go over those names an date of births to save you time.


No Pecos Enrollment

Always check to make sure your Physicians are PECOS enrolled. It's very simple and you can do it right here with Episode Alert: Pecos page.


Claim not filled on time

Another simple but often overlooked. Always be mindful of when you need to have your claims sent out.


Duplicate Billing

Duplicate Billing Resubmitting a claim instead of a follow-up, canceling a procedure or test but not removing it from a patients account can cause issues. Often a duplicate bill is caused by human error. That's why it is so important to double check everything.

filling out a medicare claim file

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