Last Modified: 10/15/2018 Location: FL, PR, USVI Business: Part A
Claims overlap FAQs
Why is my claim overlapping another facility’s when my dates do not fall within their dates of service?
I have contacted the overlapping facility numerous times and have asked them to correct their claim, but the claim has not been corrected. What steps can be taken to get the other facility’s claim updated?
I contacted the SNF and asked them to update the patient status on their claim, but they stated that the patient’s benefits are exhausted, and that they are not responsible for paying the services. What should I do?
My inpatient claim is overlapping a home health episode with the same date(s) of service. How can I resolve this?
How do I bill my claims when a patient revokes or elects hospice coverage during his/her inpatient stay?
The claim for my patient’s dates of service overlaps a Medicare Advantage (MA) plan and hospice elections period. Should I bill the hospice, Medicare or the MA plan?
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