We recently signed up two new doctors for our billing service. The reason they decided to use a service was because their Medicare claims were all being denied. These two doctors are not located in New York so we contacted the Medicare office in their area. It took several calls and we went through many automated systems before finally getting to the bottom of the problem.
We thought perhaps the denials were caused because the Medicare PTAN was not entered on the claim. Maybe they were not yet able to accept claims without both the NPI # and the Medicare PTAN. But these claims denied because the providers put their NPI # in box 17B.
This is just another example of how important it is to understand NPI #s. Many offices still do not know they need a Type II NPI #. If you are receiving any claim denials for NPI #s be sure to download our free copy of "NPI Numbers - Everything You Need To Know About NPI Numbers" .
If you are having a problem with claim denials, you need to read our ebook "How To Complete a CMS 1500 (HCFA 1500) Completely and Correctly - Line By Line, Box By Box" . Avoid costly mistakes. Make sure your claims are filed correctly the first submission.
Sunday, October 14, 2007
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