Overlapping claims continue to be a top claim rejection for providers. Medicare often receives multiple claims for the same beneficiary with the same or similar dates of service. An overlap occurs when the date of service or billing period of one claim seems to conflict with the date on another claim, indicating that one of the claims may be incorrect. Often, overlapping claims can be prevented by knowing how to properly submit claims in these situations.
WPS GHA and NGS are coming together to provide a unique opportunity for our provider communities. We would like to invite all Part A providers (billing on a UB-04) to join us in this joint endeavor to offer an educational event like no other.
During this full day event, the MACs will go over the most common reasons for overlapping claims and steps providers can take in an overlapping claim situation. Some of the topics to be covered include:
Billing during a leave of absence (LOA)/interrupted stay
What “hospital bundling” includes
How to determine the proper patient status to use on your claim
Main cause of SNF overlaps (aside from Consolidated Billing)
3/1 day payment window
End Stage Renal Disease (ESRD) Consolidated Billing
Home Health Consolidated Billing
What Place of Service (POS) Part B providers should use
Steps you can take to resolve overlapping claim issues with another provider
Take advantage of this unique opportunity to collaborate and learn with the MACs processing your claims and help reduce your workload.
Please Note: Skilled Nursing Facility (SNF) Consolidated Billing is the number one cause of overlapping claim issues. We will be hosting a full day event devoted to just this topic the following day. We encourage you to register for both days; however, it is not a requirement.
Registration will close 10/17/18 or when capacity of 45 is met.
Time of Event:
Sign-in: 8:30 - 9:00 AM
Event: 9:00 - 4:00 PM CT
Training materials will be offered only in an electronic format. Registrants are responsible for printing and bringing their own handouts. To access, choose the Additional References tab in the Learning Center course 1 week prior to the event.
Continuing Education Units (CEUs)
CEUs can be obtained from professional organizations. WPS GHA will provide a certificate of achievement once you successfully complete a course in the Learning Center. For a live event, this includes participation from start to finish of the live session. If a biography of the presenter is needed, please contact us at email@example.com.
To secure accommodations and services for in-person training events, WPS GHA may incur contractual expenses. Due to these obligations, all cancellations must be requested by emailing firstname.lastname@example.org prior to the date of the scheduled event. The email subject must be the date and title of the event. The email body must contain how the event was paid for, who paid for the event, and the full address for the refund.
Live Event - 10/23/18 Reducing Overlapping Claims (For Part A) - A Collaborative Effort Between WPS and NGS
Dates: Oct 23, 2018 9:00 am - Oct 23, 2018 4:00 pm
Location: Crowne Plaza Lombard Downers Grove; 1250 Roosevelt Road; Glen Ellyn, IL 60137