Providers make rapid progress on using NPI in claims
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By Martin Jensen | Posted 1:01pm | June 4, 2008
There are reasons to be skeptical of the CMS announcement. First, they say that the claims are "compliant" but that is not the same as saying they are getting properly crosswalked and paid. Many providers only learn their claims have failed when they get an ADR letter by mail, sometimes weeks later. Also, some of the "improvement" is certainly due to the fact that providers and clearinghouses are holding back claims that they know will deny, or will get crosswalked incorrectly. Finally, if you go by CMS's 2006 volumes, the 10% not getting through constitutes a little over 385,000 claims being rejected every day.
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