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p.37

Charge Capture Strategies for Claim Edits

 Erroneous information provided by patient

No coverage on date of service – Commercial, and, yes, Medicare

Medicare should be billed as “secondary” payer – not primary

o

Auto or other accidents require “primary” payer information

 Typographical error at time of registration or billing

 Inconsistent information within claim form

Therapy date of onset of symptoms, number of prior visits

 Insufficient information required to consider claim

   for payment

 Overlapping dates of service – Home Health & SNF patient

Need accurate and complete Discharge Planning data

 OP services provided within 72 hours of IP admission

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