Services never ordered by a physician Services never rendered by hospital

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•Services never ordered by a physician •Services never rendered by hospital •Up-coding / Up-charging •Human Error / Key Stroke •Duplicate Billing •Incorrect room charges •Incorrect number of days in hospital •Unbundled Charges •Medications never administered 440-930-5099 Email: [email protected] www.elitebenefits.us rces of Billing Errors: •Physician Bill Editing •Hospital Bill Auditing •Out of Area Claims Negotiations MEDICAL BILL AUDITING PROGRAM

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MEDICAL BILL AUDITING PROGRAM. Physician Bill Editing Hospital Bill Auditing Out of Area Claims Negotiations. Services never ordered by a physician Services never rendered by hospital Up-coding / Up-charging Human Error / Key Stroke Duplicate Billing Incorrect room charges - PowerPoint PPT Presentation

Transcript of Services never ordered by a physician Services never rendered by hospital

Page 1: Services never ordered by a physician Services never rendered by hospital

•Services never ordered by a physician

•Services never rendered by hospital

•Up-coding / Up-charging

•Human Error / Key Stroke

•Duplicate Billing

•Incorrect room charges

•Incorrect number of days in hospital

•Unbundled Charges

•Medications never administered

440-930-5099Email: [email protected]

www.elitebenefits.us

Sources of Billing Errors:

•Physician Bill Editing•Hospital Bill Auditing

•Out of Area Claims Negotiations

MEDICAL BILL AUDITING PROGRAM

Adjustments and Voidsmanuals.medicaidalaska.com/docs/dnld/Tr_Adjustments_and_Voids.pdf– Wrong Medicaid Contract ID number – Services not rendered – Duplicate payments • Any

Adjustments and Voidsmanuals.medicaidalaska.com/docs/dnld/Tr_Adjustments_and_Voids.pdf– Wrong Medicaid Contract ID number – Services not rendered – Duplicate payments • Any

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