Duplicate Denials Explored

This webinar occurred on 4/8/25. Medicare data shows duplicate claims continue to happen. We will answer the following questions: • What does Medicare consider a duplicate? • How can I code to avoid a duplicate denial? • What happens if my claim denies as duplicate, but it’s not? This webinar provides information on • Medicare claims process creating duplicates • Data on duplicate claims • Tips to avoid or fix duplicate claims Resources DDE Overview https://www.wpsgha.com/guides-resources/view/511 WPS SNAP (Secure Net Access Portal) User Manual https://www.wpsgha.com/tools/portal-user-manual IVR Operating Guide – Overview https://www.wpsgha.com/guides-resources/view/614 The National Correct Coding Initiative (NCCI) https://www.cms.gov/national-correct-coding-initiative-ncci SNF Consolidated Billing https://www.cms.gov/medicare/coding-billing/skilled-nursing-facility-snf-consolidated-billing Physician Fee Schedule https://www.cms.gov/medicare/payment/fee-schedules/physician Chapters 00:00 Intro 02:59 Agenda and Objective 03:46 Creating Duplicates 14:49 Data 31:56 Tips 56:05 Closing Comments