ClaimScrub | Zebu Compliance Solutions

How important is proper documentation in the medical record to support a claim?

Buried in documentation? Looking to save yourself time and trouble? Rather than cutting corners and skipping paperwork, you’ll actually save time and significant risks if you commit to full and [...]

What is the difference between a line item, MUE edit and a date of service edit?

What do the different MUE Adjudication Indicators (MAI) for service lines and service dates mean on the Medically Unlikely Edits (MUE)? In 2013, CMS introduced an additional element to the [...]

Why would I get a rejection for a “Covered” code?

Why am I receiving a rejection on claims for this Dx/HCPCS combination? The code is 62311, with theDx being M48.07. The LCD module shows this to be covered. This particular code is found [...]