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Saturday, April 30, 2011

CLIA# REFLECTION ON RR MCR CLAIMS THROUGH EMDS SOFTWARE

DESCRIPTION OF THE ISSUE
RRMCR claims with CPT 81002 were denied for CLIA# update.  The number which was updated in the software was not reflected in the Claim form.

CONCEPT
EMDS software does not print CLIA# under the claim form.

SOLUTION
We suggested Client’s office to print CLIA# under Authorization slot of Charge posting Screen.  The same was implemented and the claims were refiled to the carrier.  Upon follow up found claims to be received by the carrier.  Awaiting for carrier’s response for further go.

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