This is a highly useful resource for those involved in billing and collecting from Medicare and commercial health plans.
Find out how to translate (to “crosswalk”) a Medicare DME MAC claim denial to a CMS-1500 claim for submitting to a secondary payer, overcoming the obstacles of differences in coding.
Learn how to handle the incompatibility of Medicare’s product-based codes versus the industry standard home infusion HCPCS per diem S-coding system accepted by most commercial health plans.
Reimbursement professionals will have an excellent tool to help avoid the wasted resources and increased Days Sales Outstanding (DSO) that often result from the coding differences.
Click here to learn more about the tool by viewing excerpts from it.
NHIA will provide updates to reflect future changes in Medicare guidance and coding practices that you may download from an internet web page.
The product is provided electronically in Adobe® pdf file format. Your purchase provides you with the right to use multiple copies within a single location, from where you may also include content from template letters found in the tool with your submissions of claims to secondary health plans.
For use in multiple locations — contact the NHIA office at 703-549-3740 for volume discounts.
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