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Resubmission of claims on inpatients
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Re: Resubmission of claims on inpatients
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lgreen191
Re: Resubmission of claims on inpatients
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Oct 22 03 12:48 PM
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My Recent Posts
Thanks, Nancy. For some reason I was thinking a year as well, or even 18 months but since my post I found this in the Medicare Hospital Manual:
415.11 DRG Changes.--Under prospective payment DRG bill adjustments are required from you where errors occur in diagnoses and procedure coding that change the DRG, or where the deductible or utilization is affected. You are allowed 60 days from the date of the intermediary payment notice for adjustment bills where diagnostic or procedure coding was in error. Adjustments reported by the PRO have no corresponding time limit and are adjusted automatically by the intermediary without requiring you to submit an adjustment bill. However, if diagnostic and procedure coding errors have no effect on the DRG, adjustment bills are not required. (See ยง414.1E.)
Perhaps outpatient or physician claims have a year?
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Association News
Medical Billing & Coding Education from the MAB
Continuing Education
Management Advice and Training
Questions Asked More Than Once
Help Wanted - Billing and Coding
Non Billing Talk
The Venting Area (Clean posts please)
Medical Coding and Billing News
Fraud and Abuse
Health Insurance - Provider Contracting
ERISA
Tricare
Workers' Compensation
General Medical Billing Questions
Appeals
Accounts Receivables (A/R)
Refunds
Auto Accident Issues
Medisoft Technical Support
Medical Software Technical Support Questions Other than Medisoft. No Investigation Questions!
General Medical Coding Forum
CPT Coding Questions
HCPCS Coding Questions
ICD-9-CM Coding Questions
Evaluation & Management Coding Questions
Acupuncture Billing and Coding
Ambulance Coding and Billing
Cardiology Coding and Billing
Chiropractic Coding and Billing
Dental Billing and Coding
DME Coding and Billing
Emergency Department Coding and Billing
Family Practice Coding and Billing
Hospital Inpatient and Outpatient Coding
Hospital Billing, Appeals and Collections
Internal Medicine Coding and Billing
Laboratory Coding and Billing
Ophthalmology Coding and Billing
OB-GYN Coding and Billing
Pain Management Coding and Billing
Pediatric Coding and Billing
Podiatry Coding and Billing
Physical Therapy Coding and Billing
Psychiatry Coding and Billing
Radiology Coding and Billing
Surgery Coding and Billing
Neurology Coding and Billing
Urgent Care Coding and Billing
Provider Compliance
Billing Center Compliance
HIPAA
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Medical Association of Billers
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Hospital Inpatient and Outpatient Coding
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Resubmission of claims on inpatients
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