Turn Transmittals into Training Tools

Mary LeGrand, RN, MA, CCS-P, CPC

Payer transmittals—the electronic or mail-out disclosures sent by insurance companies when they’ve identified an error or problem or when an update is needed—are a dime a dozen. Your billing team receives them regularly and typically sets them aside after reading them—especially when the message is like this recent example from a Medicare Administrative Contractor (MAC):

We have identified claim issues for dates of service 1/1/2013 through 1/11/2013. The Centers for Medicare and Medicaid Services (CMS) informed Medicare claims administration contractors to hold Medicare Physician Fee Schedule (MPFS) claims with January 2013 dates of service for up to 10 business days (ie, through 1/15/2013) until implementation and testing of the 0 percent updated MPFS was completed, and to release claims that did not pay from the MPFS.

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