To ensure that the medicare claims that are filed are not denied, it's essential for health care providers to get updates on the coding regulations for getting required reimbursements.

2. A process involving
verification of the
bills and claims
submitted by a
healthcare provider.

3.  Adhering to the coding
regulations
 Edits to be based on the
date when service was
rendered
 Transparency in editing
to be maintained

4. A claim is denied by the
claims processors when:
 Information offered are
not valid
 Inappropriate CPT
codes
 No address of the
facility
 No Details of medical
provider

5. Claims that are denied
can be opened
through
CERs(Clerical Error
Reopening). Make
appropriate changes
in the claim and re-
submit it.

6. If you are a healthcare
provider, it’s important to
get a proper insight into
the coding and billing
processes. It will help your
filed claims to be approved
when undergoing claims
editing process.

7. Phone No
(469) 629-6162
Email
info@CMSPricer.com