Navigating reimbursement challenges in the infusion industry requires a deep understanding of common claim denials, underpayments, and payer errors. This session will provide an in-depth analysis of key denial issues, including refill threshold limitations, coordination of benefits complexities, and incorrect contract rate applications. Attendees will also gain insight into underpayment disputes, payer pricing references, and Medicare Medically Unlikely Edits (MUE) and Maximum Frequency Per Day limits.
Identify common reasons for claim denials related to refill thresholds, coordination of benefits, and payer pricing references.