Good afternoon,
I am reaching out regarding your aged receivables, as well as the denied claims currently reflected on your account. After review, we would recommend force reconciling any claims aging over 180 days or claims that are determined to be non-reimbursable in order to assist with cleaning up your outstanding AR.
In addition, I would like to provide clarification regarding the denial stating, “Procedure/service was partially or fully furnished by another provider.” In most cases, this denial is related to the Place of Service (POS) billed on the claim. If the POS billed is correct, the denial would indicate that the claim is non-covered due to the patient being in an inpatient facility at the time of service.
Please note that these supplies are only covered if they were delivered within two days prior to the patient’s discharge date. If that applies, the Date of Service on the claim would need to reflect the patient’s discharge date in order for the claim to be considered for coverage.
If you would like for us to assist with force reconciling the claims or if you have any additional questions, please feel free to reach out.