Billing > Billing

Cancelling a submitted claim???

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Pay_My_Claims:

--- Quote from: Michele on February 04, 2010, 09:06:34 AM ---The part that concerns me is "They don't know what date it should be but the know the date submitted the patient was not seen." 

How can the provider not be able to figure out what the correct date was?  This is really key in how to handle this.  If the patient wasn't seen at all, you would notify them that the patient was billed in error.  But if it's an incorrect date, then you would notify them of that.  Two different scenarios that you can't decide which is correct without knowing. 

Michele


--- End quote ---

i agree

dfranklin:
One of their now ex-employee had screwed up on the date they wrote when they sent me the superbill.  Another employee was reviewing outstanding services that were not billed and sent a list to us that needed to be billed which we did.  She did not know that one was sent to us with the wrong date and we did not know it was wrong either until the carrier asked for chart notes on the claim and provider's office said they were not seen that day.

It is a chiro so the same patients are seen very often and sometimes daily so when you see a patient superbill for the same week or even the next day it does not raise any red flags to make you think it could be incorrect becuase that is quite common.

This is going to be eliminated in the near future as they will be using my appointment scheduler that way I can verify we have superbills for all patients seen and we don't have a superbill for a patient not on a schedule (and if we do then now we have a red flag to go off of).

I just wasn't sure how to handle this claim where I can not "correct" the date and submit since we already submitted one for that date and did not know that one was incorrect until later.

Michele:
That makes more sense.  I would just attach an explanation to the request for the office notes.  Explain that it was a clerical error, and all correct dates were submitted. 

Michele

dfranklin:
OK...awesome! Thanks Michele!

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