Practice Management

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  • 1.  PC billing Medicare Part A and how to avoid

    Posted 03-02-2021 15:51
    Hi,

    Our hospital systems send the demographic (ADT) information to our billing company directly.

    We have little to no control over it.

    Many of our patients seen at the hospitals have Medicare Part A only along with another insurance to cover the PC claims.

    At this time we cannot stop the hospitals from sending the Part A information.

    It is causing a tremendous amount of denials and requests for COB"S, etc.

    Has anyone experienced this and have a solution they can offer we use?

    Thanks

    ------------------------------
    Marlo Bakst
    Manager, RCM
    New Rochelle Radiology Assoc., PC
    New Rochelle NY
    914-633-7700
    ------------------------------


  • 2.  RE: PC billing Medicare Part A and how to avoid

    Posted 03-02-2021 16:17

    Marlo,

     

    You might see if you can speak to somebody that can coordinate the billing and the IT side of things at your hospital – our main facility identifies their  Part A Medicare with one payer number, and Part B Medicare with a different payer number, which allows us to ignore one AND only get the Part B info if that particular payer is on the patients account.

     

    Our main facility does this well, our previous smaller facility we dealt with certainly NOT as good – The only other immediate automated solution that comes to mind would be one of the vendors that does eligibility checks that could run the Part A numbers to see if they do, in fact, have Part B coverage before you send out any bills – if that is an option on the billing company side, then perhaps they could also automate changing to the Part B payer if it comes back as having coverage, or dropping the Part A and just leaving the alternate payer on that charge/visit.

     

    Michelle

     

    Michelle R. Juette, CPC, RCC

    Business Services Manager

    Yakima Valley Radiology

    (509) 895-0402 (direct, voice/mail)

    (833) 520-5265 (secure fax)

    mailto:mjuette@yakrad.com

     

     

     

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  • 3.  RE: PC billing Medicare Part A and how to avoid

    Posted 03-04-2021 14:13
    Thank you

    ------------------------------
    Marlo Bakst
    Manager, RCM
    New Rochelle Radiology Assoc., PC
    New Rochelle NY
    914-633-7700
    ------------------------------