diagnosis codes are as follows: 640 through 648; 670 through 677; V22; V23. DO NOT enter descriptions. 22 Medicaid resubmission OPTIONAL No entry required. 23 Prior authorization number SITUATIONAL REQUIRED if there is a prior authorization, ...
Complete and accurate submissions (including proper supporting diagnostics) are processed faster than those that are not, reducing resubmissions that delay adjudication and increase staff frustration. This presentation reviews key sections of the ADA claim form, current CDT codes and appropriate diagnostic...
It tracks the case mix index (CMI), elective surgery trends and average lag days from denial resubmission to adjudication, year-over-year and year-to-date trends for Medicare and commercial payers, detecting data anomalies and outliers that are barr...
and resubmission of claims to all payers accessed through the clearinghouse? The physician practice should knowthe clearinghouse’s policy regarding adherence to the contract provision of the payer’s time submission requirements and clean or complete claim requirements. ...