Split Claim Billing
Does anyone have a policy or input on how to determine when split claim billing is appropriate? Medicare has very clear instructions on when to split bill, but some of our commercial payers are giving us confusing advice. For instance, if a procedure wasn't pre-certed, the customer service rep is telling us to split the claim and put the non pre-certed procedure on one claim and the other tests and procedures on a separate claim. It would help our revenue, but we are questioning the integrity of that revenue.
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