Anticlue

Top Ten Billing Errors

This is interesting, TrailBlazer has identified the top ten billing errors for texas medicare part b. This will be done quarterly through a data analysis program.

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1. Duplicates
2. Bundled Services
3. Facility Information
4. Beneficiary Eligibility
5. Medical Necessity
6. Provider Number Missing
7. Medicare Secondary Payer (MSP)
8. Non-covered services
9. Unique Provider Identification Number (UPIN)
10. Modifiers

Wouldn't it be sweet to use the same idea on professional and technical claims in a health care enterprise? That way you look at the constraint that gives you the most issues, and identify probably several root causes. Much better than expanding a bunch of resources on 1 account or 2 account problems in my humble opinion.