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Strategies & Market Trends : The Residential Real Estate Crash Index
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To: Secret_Agent_Man who wrote (199751)5/3/2009 12:06:30 AM
From: i-nodeRead Replies (1) of 306849
 
if claims are coded correctly payment is within 2 weeks electronically for medicare and medicaid in missouri with the insurers games are played on a weekly basis and they have 45 days before they have to pay and they will take it-

For some practices MC is less problematic than others. I'm sure you're familiar with submitting injection "dump codes" (J3490) if you work with or as a biller. A sizable medical oncology clinic will need a full time person to deal with these codes alone. I've had clinics who were simply unable to use the newest treatments on aged patients because of the difficulty of getting paid.

In short, I would agree there are some practices where the routine is so straightforward that you tend to not have trouble with Medicare. Medicaid varies state by state, but I've seen claims rejected in the last six months because a clinic didn't have a 9-digit zip code on file with them. No shit.

But when a MC claim is denied for any reason you tell me how long it takes to get an answer to the problem. I deal with this crap daily for about 100 clinics. And I can tell you that MC, in every state, is an absolute train wreck.

Perhaps you weren't affected by the NPI implementation. But about 40% of offices had extended periods of nonpayment as a result of it. I've seen new providers who went six months before getting their first payment -- in the meantime going nearly broke. All due to a massive bureaucracy.
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