Legislative efforts and new tools coming
Working Down Denials
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.
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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
The overall Medicare denial rate for claims for A4353, intermittent urinary catheter, is 18.5 percent.
There isn't too much room to dispute Medicare when you receive this denial code.