Duplicate Medical Service

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Billing and Coding: Repeat or Duplicate Services on the …

https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=53482

Identical services being repeated should be submitted using CPT modifier 76, 77, or 91. •CPT Modifier 76: 'Repeat procedure by same physician: The physician may need to indicate that a service was repeated the same day subsequent to the original service. …

Was Your Claim Denied as a Duplicate Service? - Find-A …

https://www.findacode.com/articles/was-your-claim-denied-as-a-duplicate-service.html

Duplicate service denial is indicated when the same service was performed on the same patient on the same date and by the same provider. Three …

Exact Duplicate Claim/Service - JE Part B - Noridian

https://med.noridianmedicare.com/web/jeb/topics/claim-submission/reason-code-guidance/exact-duplicate-claim-service

This is a duplicate to a service that has already been paid. Next Steps Verify medical documentation for the following: Service appropriate to bill Date of service Is a …

Everything You Need to Know About …

https://etactics.com/blog/duplicate-billing

When determining whether or not a claim is a duplicate, Anthem BlueCross BlueShield cross-references the service and …

What Constitutes a Duplicate Service Claim? - Medical Billing …

https://www.outsourcestrategies.com/blog/when-is-claim-submitted-by-medical-coding-company-denied-as-duplicate-service/

Reasons for Duplicate Claim/Service Denials. The service was performed more than once on the same day: The same provider may provide the same service …

Solving the problem of duplicate records in healthcare

https://azure.microsoft.com/en-us/blog/solving-the-problem-of-duplicate-records-in-healthcare/

Duplicate medical records often occur as a result of multiple name variations, data entry errors, and lack of interoperability—or communication—between …

Top Five Claim Denials and Resolutions – Duplicate …

https://www.cgsmedicare.com/partb/mr/top5/duplicate_denials.html

Duplicate Service (s) This denial indicates that this claim has already been processed/paid for: The same service The same patient The same date of service And the same …

Duplicates, the Hidden Cost in Healthcare - Medium

https://medium.com/healthcare-informatics-and-mobile-health-blog/duplicates-the-hidden-cost-in-healthcare-f1c0aad4c647

The average cost of each duplicate medical pair is $50 and hospitals have an average of 64,000–96,000 duplicates which amounts to $3,200,000-$4,800,000 per …

Double Trouble - AHIMA

https://bok.ahima.org/doc?oid=302567

The prevalence of duplicate records in most hospitals has been generally estimated between five percent to 10 percent of all stored records. 1,2 However, health systems that …

How data duplication in healthcare is diagnosed

https://www.techtarget.com/searchdatamanagement/tip/How-data-duplication-in-healthcare-is-diagnosed

Deterministic matching uses common identifiers like first and last name, date of birth, address, and phone number to check whether records are duplicates; a unique …

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