Let's Talk Duplicate Claims

This webinar occurred on 3/24/26. The data is in and duplicate claims continue to be a common denial. This webinar focuses on reducing the denial. We will: • Define duplicate claims • Explain the data • Show resources to help you avoid this denial type Resources Medicare Claims Processing Manual, Chapter 1 - General Billing Requirements, Section 120 – Detection of Duplicate Claims https://www.cms.gov/regulations-and-guidance/guidance/manuals/downloads/clm104c01.pdf National Correct Coding Initiative (NCCI) https://www.cms.gov/medicare/coding-billing/national-correct-coding-initiative-ncci-edits MPFS https://www.cms.gov/medicare/payment/fee-schedules/physician WPS Modifiers webpage https://www.wpsgha.com/guides-resources/view/392 Medicare Claims Processing Manual, Chapter 16 - Laboratory Services https://www.cms.gov/regulations-and-guidance/guidance/manuals/downloads/clm104c16.pdf WPS Common Claim Denials Article https://www.wpsgha.com/guides-resources/view/857 WPS SNAP (Secure Net Access Portal) User Manual https://www.wpsgha.com/tools/portal-user-manual Chapters 00:00 Intro 01:25 Definitions 20:04 Data Explanation 28:05 Resources 42:20 Questions and Answers 53:23 Closing Comments