Medicare Issues of the Day
COVID has complicated Medicare billing and reimbursements
It's easy to miss a small thing on one claim and hold up months of cash flow.
There are new waivers and codes and processes, and reimbursements are easily held up. We are helping clients collect aged Medicare balances and we have observed some trends that may be of interest.
Sequencing
Sequencing Individual residents with multiple claims in the system, including no-pays, will all need proper sequencing. Claim by claim review can reveal one thing out of order that can break an entire payment line.
Coding
Coding Watch for incorrect span codes, condition codes, and HIPPs codes. Each can cause payments to be held up. Understand which codes go where on each claim and then verify.
