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With this being the first payment year of the Merit-based Incentive Payment System (MIPS), MIPS eligible clinicians and clinician groups should start tracking payment adjustments in their Medicare Part B claims. Billing staff also may want to prepare for questions from patients who are privy to the information. Lots at Stake Based on performance in […]
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I bill for a psychiatry office in Florida. Currently, on our remittance advices, we have had a lot of non-payments (they are indicated as paid to the patient on the RA). The CARC and RARC codes don’t seem to give any reasons. My best assumption is that these are take backs for cost-sharing for patients that are dually qualified for both Medicare and Medicaid. We currently use a horrible billing system (Medisoft) and I’ve only recently taken over the billing. I’ve called Medicare and have gotten nowhere. Any advice or input is greatly appreciated!!
Thank you.