#NOT MEDICALLY NECESSITY SCENARIO rejection management in Medical billing. AR in Healthcare.

#Not clinically need
#Denial management
#Medical billing
#AR in Healthcare
#Medical coding
#AR
#US HEALTHCARE DOMAIN
Summary: If services are not covered based on LCD & NCD standards, then claim will be rejected as services are not clinically requirement. Signified by rejection code50 This rejection frequently seen in Medicare and Medicare benefit strategies. Service provider requirement to examine whether services are covered according to LCD, NCD standards under the client. We require to forward declare to coding group in additional. After coding correction done need to rebill the remedied claim with resubmission code 7. If no coding correction needed, require to inspect if ABN signed and if ABN signed then BILL PATIENT. If ABN NOT SIGNED, service provider requirement to WRITE OFF THE CLAIM BALANCE thats imply that CLAIM WILL BE ADJUSTED.
ABN: Advance Beneficiary Notice (ABN) for non covered services according to Medicare standards, likewise called a waiver of liability.
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http://medicalbillingcertificationprograms.org/not-medically-necessity-scenario-rejection-management-in-medical-billing-ar-in-healthcare/