Medicare Denials
Cindy Anderson
Description
Collection
Title:
Medicare Denials
Creator:
Cindy Anderson
Date:
2/14/2014
Text:
I received very helpful information in regard to Medicare denials for patients discharged to home healthcare. I received Maggie's permission to share her reply. I've also forwarded this info to AOPA.
Cindy Anderson
Manfredi O&P
Hi Cindy,
Ha...I posted on the list serve a month or two ago and only one person had experienced this, which I couldn't understand since we have a good number. So,.,,I pursued this like crazy and finally got a Boston Regional MCR person to look into it for me. She found out there is an editing error happening in their system. She said they didn't know how long it would take to fix but they evidently have a work around for the editing error now and the claims should process through correctly. We even had some recoups due to the same issue.
So, she told me to send them as a reopening and ask that the claims be reprocessed. I put a note on the bottom referring to this editing error I was told about. You can call the woman I talked to if you like. She said it's a national issue and not just this Region A.
It's Laura Howes--Phone #617-565-1303.
Good luck. I don't have any response to my reopening requests yet. Just sent them last week.
It would be good if people would call the woman at the Boston Regional office just to let them know they have issues with these claims because she thought it was odd that she hadn't heard from anyone else and it was a national issue. Don't mind if you share my personal info.
Maggie Perez
Office Manager
Capital O & P
Cindy Anderson
Manfredi O&P
Hi Cindy,
Ha...I posted on the list serve a month or two ago and only one person had experienced this, which I couldn't understand since we have a good number. So,.,,I pursued this like crazy and finally got a Boston Regional MCR person to look into it for me. She found out there is an editing error happening in their system. She said they didn't know how long it would take to fix but they evidently have a work around for the editing error now and the claims should process through correctly. We even had some recoups due to the same issue.
So, she told me to send them as a reopening and ask that the claims be reprocessed. I put a note on the bottom referring to this editing error I was told about. You can call the woman I talked to if you like. She said it's a national issue and not just this Region A.
It's Laura Howes--Phone #617-565-1303.
Good luck. I don't have any response to my reopening requests yet. Just sent them last week.
It would be good if people would call the woman at the Boston Regional office just to let them know they have issues with these claims because she thought it was odd that she hadn't heard from anyone else and it was a national issue. Don't mind if you share my personal info.
Maggie Perez
Office Manager
Capital O & P
Citation
Cindy Anderson, “Medicare Denials,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 1, 2024, https://library.drfop.org/items/show/236061.
