Sarah Hanna
Sarah Hanna is a reimbursement consultant and vice president of ECS Billing & Consulting, Tiffin, Ohio, and specializes in proper billing protocols, Medicare coverage guidelines and billing office procedures. She can be contacted at 419/448-5332 or sarahhanna@bright.net.
Identify potential problems at the source
Stay aware of medical coverage changes and what written proof you need upon request.
Assist physicians with their enrollment to provide payments rather than denials
Work ahead to request, receive and review documentation
If you know what you're dealing with, you can avoid or reverse K0858 denials
Avoiding denials when billing the E0570 nebulizer with compressor
As patients become eligible for Medicare, they may be using equipment paid for by previous primary insurance.
The overall Medicare denial rate for claims for A4353, intermittent urinary catheter, is 18.5 percent.
This month in our DME MAC comparison, Jurisdiction C barely made it out of the No. 1 spot and has turned over the title to Jurisdiction D for claim denials
There isn't too much room to dispute Medicare when you receive this denial code.
CO16Claim/service lacks information which is needed for adjudication The CO16 denial code alerts you that there is information that is missing in order