Topic: Payment Integrity

Zelis_Payment Integrity and Claims Editing

IPPE or AWV? Navigating the Yearly Medicare Visits

In the July 2018 issue of the AAPC’s Healthcare Business Monthly, Zelis Manager of Appeals Amanda Turner outlines the different Medicare visits a patient may request and corresponding coding and reimbursement benefits, below is an excerpt.

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Case Study: Ambulatory Surgery Center

A claim submitted by an Ambulatory Surgery Center was sent by the Payer to Zelis to analyze the accuracy of charges and coding of the claim. Find out how Zelis Healthcare found a total savings 61.03%.

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