Important: In some cases, inaccuracies in provided information related specifically to Part A or Managed Care patients may lead to the submission of claims to the payer. Upon review, the payer may assert non-responsibility for the charges. Consequently, the claim will be billed back to the client.
As services performed on these patients fall under the facility’s responsibility, Aculabs depends on the month-end census for accurate invoicing, aiming to reconcile charges appropriately.
Denials and Timely Filing
Inaccurate patient demographic and insurance information, such as invalid ID numbers or outdated policies, is frequently encountered. Timely submission of valid insurance details is crucial to avoid denials due to filing restrictions.
Depending on the invoice type, your invoice may feature a denial code marked with an asterisk (*). The code’s definition is conveniently located in a key provided at the end of the invoice, ensuring clarity and facilitating ease of reference.
Invoices with charges related to denials or unbillables will display a blank value within the section marked as “Type”.