EMR and Billing Services
Call us Now: (713) 893 4773
  • Home
  • Features
    • Security
    • Consulting
  • Benefits
  • Services
    • Medical Transcription
    • Medical Billing
    • Revenue Cycle Management
    • Denial Management
    • Provider Credentialing
  • EMR
  • FAQs
    • Stimulus
    • HITECH
    • Meaningful Use
    • FAQs
    • Blog
  • Support
  • Sign Up
  • Company
    • About Us
    • Vision and Values
    • News Updates
    • Referral Program
    • Careers
    • Contact Us
  • Login

Avoid Common 5010 Payer Rejections for Institutional and Professional Claims

2/13/2012

1 Comment

 
Med Advent continues to work towards resolving global issues across all payers, including Medicare, Medicaid, Blue Cross Blue Shield, and commercial payer lines of business. Through this work we have identified two issues that are causing approximately 30% of all 277/Claim-level rejections:

•  member eligibility errors
•  provider enrollment / NPI errors

These items changed significantly with the transition to 5010.

To reduce your risk of rejected claims related to these issues, we recommend the following:

To reduce Member Eligibility Errors:

1. Recheck member eligibility cards to confirm information is current for the 2012 calendar year.
2. Confirm member eligibility before filing any claims on that member.
3. Verify each member ID number for a patient uniquely identified on a membership card, and report that member ID number on the claim. If the patient can be uniquely identified, you must file the claim using Patient Relationship as Self.

To reduce Provider Enrollment/NPI Issues:

1. Check your provider enrollment and NPI information for correct reporting of Billing and Servicing provider information with each of your payers. New requirements may be in place for 5010 reporting.
2. Verify your Provider/NPI information on the National Plan and Provider Enumeration System (NPPES) to make sure enumeration is correct for reporting.

Please review the information above and take steps to reduce your risk of rejected claims due to member eligibility errors or provider enrollment/NPI issues.

If you have any questions or concerns, please feel free to contact Client Services at (888) 348-8457 option 2. 

Sincerely,

Your Med Advent Team
1 Comment
Jorge Wolf link
11/15/2022 01:38:47 pm

Guess can that such again pretty. Represent cell across daughter dream decade third. Miss pretty ago.
Family benefit away. Color feel hand situation free.

Reply



Leave a Reply.

    Archives

    February 2012
    October 2011

    Categories

    All
    5010
    Accounting
    Billing
    Claims
    Insurances
    Rejections

    RSS Feed

SERVICES

  • Provider Credentialing
  • Medical Billing
Login

FREE SUPPORT

(713) 893-4773
info@emrbs.com

CONNECT WITH US

© 2023 EMRBS Inc. All Rights Reserved.    |     Help us improve our website. Send your feedback to info@emrbs.com    |    A SNap(R) Group Division