topic

Working Down Denials

A column with practical tactics for preventing and appealing claim denials in HME billing.

  • Monitoring Cash Flow Post-ICD-10

    After months of preparation, ICD-10 descended upon us October 1. The deadline approached with much dread throughout the health care continuum. The worries and the stress of the unknown have been driving the industry mad. Now that we are in full swing with ICD-10, it is important to track and trend information regarding the effects of ICD-10 on your operations. There are four areas that need to be reviewed to monitor the effects of ICD-10: Holding Revenue As intake receives referrals and billing reviews claims prior to submission, claims will be placed on hold waiting for the ICD-10 code if the ICD-9 code is the only diagnosis code present. The key is to have a process in place for following up on those claims on…
    Read More →: Monitoring Cash Flow Post-ICD-10
  • E0100 Cane, Adjustable/Fixed with Tips

    Among the top denial reasons for E0100 claims, which have a 16.1% denial rate, are that the patient has “same or similar” equipment, is in a nursing home or on an inpatient hospital stay at the time of
    Read More →: E0100 Cane, Adjustable/Fixed with Tips
  • A4353 Intermittent Urinary Catheter

    The overall Medicare denial rate for claims for A4353, intermittent urinary catheter, is 18.5 percent.
    Read More →: A4353 Intermittent Urinary Catheter

OUR DIGITAL PARTNERS

trending

From Our Partners