Medicare Top 10 Denials 5. Medical Necessity

MRA reason code CO-50: These are non-covered services because this is not deemed a “medical necessity” by the payer. · Remark message N115: This decision is based on a Local Medical Review Policy (LMRP) or Local Coverage Determination (LCD). An LMRP/LCD provides a...

Learn English – Episode 6. He didn’t write

ANNE My brother, David, worked in the family business too. But he didn’t like it. He wanted to try something different.JOHN So what happened?ANNE My parents agreed. They let him come to Australia to study.JOHN Where did he go?ANNE He came here, to Adelaide. He studied...

Learn English – Episode 5. Are you married?

ANNE describes her brother to the private investigator.ANNE Can you help me?JOHN Well I’ll try. Now tell me about your brother Ms Lee. How old is he?ANNE He’s twenty-three.JOHN Well that would make him your younger brother. What’s his name?ANNE David.JOHN And what...

Telephonic English – Starting the Call

Identifying yourselfThis is Donna Greenwood.This is Mr. Williams.Jennifer Fisher here.This is Mrs. Jones.This is Frank Stevenson speaking.This is Daniel Adams here.This is Paul Ryefield.Identifying your companyThis is Donna Greenwood of Chemsoft Incorporated.Jennifer...

Learn English – Episode 4. Second on the Left

ANNE is looking for JOHN’s office. A WOMAN is waiting at a bus stop. ANNE approaches her.ANNE Excuse me.WOMAN Yes? ANNE Could you tell me how to get to Mitchell Street?WOMAN Yes. You’re going the wrong way. You need to go straight along here, past the silver balls,...

Learn English – Episode 3. What time is it?

In her hotel room, Anne rings a number.John Barbour, the private detective, answers the phone.JOHN Hello, Barbour’s Private Investigation. John Barbour speaking.ANNE Hello. Can you find missing people?JOHN Sometimes we can. Have you lost somebody?ANN Yes.JOHN Perhaps...

Medicare – Top ten billing errors

Top ten Denials 1. Duplicates 2. Claim Not Covered by This Payer/Contractor 3. Missing/Incomplete Information on Where Services Furnished 4. Beneficiary Eligibility 5. Medical Necessity 6. Bundled Services 7. Non-Covered 8. Medicare Secondary Payer (MSP) 9. Provider...