[Magdalen] Insurance screw-up.

[ME Michaud]

We had a meeting about coding problems at the hospital.

Turns out they were beginning the coding sheet with
M for Medicare or
D for Medicaid.
The over-pressured and under-trained (and under-paid) coders were beginning
each form with an M, which meant half of them were being rejected for
reimbursement by the Feds.

Someone (it was me, actually) suggested they stop using the M and
use code R for Medicare and D for Medicaid. Entering an M triggered an
error message. And it worked.

Sometimes the solution is simple.
-M

On Monday, October 3, 2016, Scott Knitter <scottknitter at gmail.com> wrote:

> I often question the accuracy of the CPT codes that were entered by
> the biller...I think a lot of procedures are entered at a higher level
> (longer office visit or more intense treatment) than reality would
> seem to dictate.
>
>