Billing

Errors And Reimbursement Denials

By November 10, 2022No Comments

Are you viewing DODD’s Provider Weekly Reports on DODD’s website to ensure you are being paid accurately?

  1. Error Reports post the Friday after submission and there are approximately 60 error codes! If these claims are not researched, corrected and resubmitted, you will not receive reimbursement. MBS views these reports weekly, researches the issues, works with the appropriate parties to resolve and resubmits the claims for reimbursement. Additionally, MBS tracks the resubmissions to ensure payment.
  2. EVV Discrepancy Reports post the Friday after submission. Reimbursements are not yet being impacted by discrepancies. However, providers should still be logging units into the EVV system. MBS views these reports weekly, ensures discrepancies are not related to MBS data entry and reports to providers any issues.
  3. Reimbursement Denied Reports post the 2ndMonday after submission. These claims must be researched and resubmitted, or you will not receive reimbursement. MBS views these reports weekly, researches the issues, works with the appropriate parties to resolve and resubmits the claims for reimbursement. Additionally, MBS tracks the resubmissions to ensure payment.
  4. Payment Reports post the 2nd Monday after submission. If you are not reconciling the amount billed to the payment report, you may be missing revenue. MBS reconciles all billed claims to paid claims to ensure providers are fully reimbursed for services provided.

Medicaid Billing Solutions’ clients have peace of mind, knowing MBS checks these weekly. Our clients have less than 1% of UNPAID claims due to MBS’ time and efforts on these reports.  

If this sounds like a hassle, let us help.

We’ll make sure you are always paid correctly!

We can also help you find more revenue through our Billing Process Evaluation.